Brandon L Tullis, DPM | |
600 Coffee Rd, Modesto, CA 95355-4201 | |
(209) 524-1211 | |
Not Available |
Full Name | Brandon L Tullis |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 25 Years |
Location | 600 Coffee Rd, Modesto, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568410348 | NPI | - | NPPES |
000E44180 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E44180 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Modesto, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Provider Name | Sutter Valley Medical Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Brandon L Tullis, DPM 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 | Brandon L Tullis, DPM 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 |
Ronald D. Jensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Associated Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 730 16th St, Modesto, CA 95354 Phone: 209-529-9450 Fax: 209-529-3439 | |
Dr. H Rand Tolboe, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 104, Modesto, CA 95355 Phone: 209-525-3150 Fax: 209-525-3153 | |
H. Rand Tolboe, D.p.m. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 104, Modesto, CA 95355 Phone: 209-525-3150 Fax: 209-525-3153 | |
David R. Collman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Tolboe Foot & Ankle, Inc., A Podiatric Medical Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 1401 Spanos Court, Suite #104, Modesto, CA 95355 Phone: 209-525-3150 Fax: 209-515-3153 | |
Dr. Rajdeep K Sahota, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2116 E Orangeburg Ave, Suite A, Modesto, CA 95355 Phone: 209-577-1411 |