Tanya Wilson Tullos, NP-C - Medicare Nurse Practitioner in Philadelphia, MS

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Tanya Wilson Tullos, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Mississippi. She went to University Of Alabama School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Relias Emergency Medicine Specialists Of St Dominic Llc, Neshoba County General Hospital, Laird Hospital, Inc. and her current practice location is 1001 Holland Ave, Philadelphia, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 781-2234.

Tanya Wilson Tullos is licensed to practice in Mississippi (license number 904858) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710538061.

Contact Information

Tanya Wilson Tullos, NP-C
1001 Holland Ave,
Philadelphia, MS 39350-2161
(601) 781-2234
(601) 781-2231

Map and Direction




Provider's Profile

Full NameTanya Wilson Tullos
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1001 Holland Ave, Philadelphia, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tanya Wilson Tullos attended and graduated from University Of Alabama School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1710538061
  • Provider Enumeration Date: 09/26/2019
  • Last Update Date: 09/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3870986516
  • Enrollment ID: I20220202000724

Medical Identifiers

Medical identifiers for Tanya Wilson Tullos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710538061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904858 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Laird Hospital IncUnion, MSHospital
St Dominic-jackson Memorial HospitalJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Relias Emergency Medicine Specialists Of St Dominic Llc246684015217
Neshoba County General Hospital620473828925
Laird Hospital, Inc.721499176935

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. Tanya Wilson Tullos allows following entities to bill medicare on her behalf.
Entity NameMedical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609820539
PECOS PAC ID: 9234043712
Enrollment ID: O20031118000855
Entity NameRush Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588625594
PECOS PAC ID: 2567368541
Enrollment ID: O20031210000541
Entity NameNeshoba County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114057247
PECOS PAC ID: 6204738289
Enrollment ID: O20040121000618
Entity NameLaird Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821046798
PECOS PAC ID: 7214991769
Enrollment ID: O20050201000304
Entity NameScott Regional Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639367188
PECOS PAC ID: 0648366260
Enrollment ID: O20080423000448
Entity NameKemper Cah, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346546306
PECOS PAC ID: 5991985012
Enrollment ID: O20110622000294
Entity NameRelias Emergency Medicine Specialists Of St Dominic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235808122
PECOS PAC ID: 2466840152
Enrollment ID: O20211029000889

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. Tanya Wilson Tullos 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 AddressPractice Location Address
Tanya Wilson Tullos, NP-C
1001 Holland Ave,
Philadelphia, MS 39350-2161

Ph: (601) 781-2234		Tanya Wilson Tullos, NP-C
1001 Holland Ave,
Philadelphia, MS 39350-2161

Ph: (601) 781-2234

Reviews and Comments


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Sierra Cain, NP-C
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Sallie Evans Dalton, MSN, APRN, PMHNP-BC
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Mrs. Paula Clearman, F.N.P.
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Mrs. Erica Dale Flake, FPMHNP-BC
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Tonia Holley, NP
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Alisha Denise Jones, NP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.