Dr Stacey Ann Tullis, OD is a medicare enrolled "Optometrist" provider in Ft Belvoir, Virginia. Her current practice location is
8651 John J Kingman Rd, Bldg 2321, Ft Belvoir, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 781-3695.
Dr Stacey Ann Tullis is licensed to practice in Virginia (license number 0618002411) 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 1689056020.
Healthcare Provider's Profile
| Full Name | Dr Stacey Ann Tullis |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 8651 John J Kingman Rd, Ft Belvoir, Virginia |
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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: 1689056020
- Provider Enumeration Date: 06/22/2015
- Last Update Date: 06/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 2264732932
- Enrollment ID: I20151202000739
Medical Identifiers
Medical identifiers for Dr Stacey Ann Tullis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689056020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 0618002411 (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. Dr Stacey Ann Tullis allows following entities to bill medicare on her behalf.
| Provider Name | Family Optometric Associates Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629197520
PECOS PAC ID: 5698873891
Enrollment ID: O20080130000758 |
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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. Dr Stacey Ann Tullis 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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Dr Stacey Ann Tullis, OD
2445 Lyttonsville Rd Apt 907,
Silver Spring, MD 20910-1934
Ph: (307) 575-2194 | Dr Stacey Ann Tullis, OD
8651 John J Kingman Rd, Bldg 2321,
Ft Belvoir, VA 22060-6200
Ph: (703) 781-3695 |
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