Melissa Tully, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Ringwood, New Jersey. Her current practice location is
60 Skyline Dr, Ringwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 962-4000.
Melissa Tully is licensed to practice in New Jersey (license number 26NJ00755400) 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 1710499017.
Provider's Profile
| Full Name | Melissa Tully |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 60 Skyline Dr, Ringwood, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710499017
- Provider Enumeration Date: 10/26/2017
- Last Update Date: 10/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183047756
- Enrollment ID: I20240522003953
Medical Identifiers
Medical identifiers for Melissa Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710499017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00755400 (New Jersey) | 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. Melissa Tully allows following entities to bill medicare on her behalf.
| Entity Name | Healthfair Plus Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20150112000448 |
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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. Melissa 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 |
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Melissa Tully, NP
11 Bean Ct,
Wanaque, NJ 07465-1001
Ph: (973) 207-8426 | Melissa Tully, NP
60 Skyline Dr,
Ringwood, NJ 07456-2039
Ph: (973) 962-4000 |
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