Dr Keith L Tully, OD in Los Fresnos, TX - Medicare Optometrist Provider

Dr Keith L Tully, OD is a medicare enrolled "Optometrist" provider in Los Fresnos, Texas. His current practice location is 810 W Ocean Blvd, Suite C2, Los Fresnos, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 233-5252.

Dr Keith L Tully is licensed to practice in Texas (license number 8732T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033591821.

Contact Information

	Dr Keith L Tully, OD
	810 W Ocean Blvd, Suite C2, Los Fresnos, TX 78566-3600
	(956) 233-5252
	(956) 233-6430

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith L Tully
Gender	Male
Speciality	Optometrist
Location	810 W Ocean Blvd, Los Fresnos, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033591821
Provider Enumeration Date: 06/29/2015
Last Update Date: 06/29/2015

Medicare PECOS Information:

PECOS PAC ID: 0749595387
Enrollment ID: I20150812006401

Medical Identifiers

Medical identifiers for Dr Keith L Tully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033591821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8732T (Texas)	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. Dr Keith L Tully allows following entities to bill medicare on his behalf.

Provider Name	Los Fresnos Eye Clinic & Optical Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215115118 PECOS PAC ID: 9638238017 Enrollment ID: O20081105000130

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. Dr Keith L 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
Dr Keith L Tully, OD 810 W Ocean Blvd, Suite C2, Los Fresnos, TX 78566-3600 Ph: (956) 233-5252	Dr Keith L Tully, OD 810 W Ocean Blvd, Suite C2, Los Fresnos, TX 78566-3600 Ph: (956) 233-5252

Reviews and Comments

Optometrist in Los Fresnos, TX

Dr. Antonio Vasquez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566 Phone: 956-233-5252
Los Fresnos Eye Clinic & Optical Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566 Phone: 956-233-5252 Fax: 956-233-6430

Dr Keith L Tully, OD - Medicare Optometrist in Los Fresnos, TX