Katherine Denise Tully, CNNP in Virginia Beach, VA

Katherine Denise Tully, CNNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Virginia Beach, Virginia. Her current practice location is 1060 1st Colonial Rd, Pediatrix Medical Group, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 395-6326.

Katherine Denise Tully is licensed to practice in Virginia (license number 0024166425) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689727380.

Contact Information

	Katherine Denise Tully, CNNP
	1060 1st Colonial Rd, Pediatrix Medical Group, Virginia Beach, VA 23454
	(757) 395-6326
	(757) 395-6387

Map and Direction

Provider's Profile

Full Name	Katherine Denise Tully
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	1060 1st Colonial Rd, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689727380
Provider Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991831174
Enrollment ID: I20100326000402

Medical Identifiers

Medical identifiers for Katherine Denise Tully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689727380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	0024166425 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine Denise Tully allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Denise Tully is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katherine Denise Tully, CNNP 306 Pasture Lane, York Town, VA 23693 Ph: (757) 343-6146	Katherine Denise Tully, CNNP 1060 1st Colonial Rd, Pediatrix Medical Group, Virginia Beach, VA 23454 Ph: (757) 395-6326

Reviews and Comments

Nurse Practitioner Nurses in Virginia Beach, VA

Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665
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Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411
Ms. Patricia G Dudley, RNC, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454 Phone: 757-481-7222 Fax: 757-390-2935
Keisha Monique Baxter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 Lynnhaven Pkwy Ste 240, Virginia Beach, VA 23452 Phone: 757-802-4500 Fax: 757-226-9002

Katherine Denise Tully, CNNP - Medicare Nurse Practitioner in Virginia Beach, VA