Kelly Tally, DPM in Suwanee, GA - Medicare Podiatry Provider

Kelly Tally, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Suwanee, Georgia. She went to Barry University School Of Podiatric Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Suwanee Foot And Ankle Specialists Llc and her current practice location is 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 589-1204.

Kelly Tally is licensed to practice in Georgia (license number POD001396) 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 1932673902.

Contact Information

	Kelly Tally, DPM
	1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541
	(470) 589-1204
	(470) 589-1465

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Tally
Gender	Female
Speciality	Podiatry
Experience	7 Years
Location	1300 Peachtree Industrial Blvd Ste 4105, Suwanee, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Tally attended and graduated from Barry University School Of Podiatric Medicine in 2017

NPI Data:

NPI Number: 1932673902
Provider Enumeration Date: 01/14/2019
Last Update Date: 03/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6002246584
Enrollment ID: I20200423003330

Medical Identifiers

Medical identifiers for Kelly Tally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932673902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	POD001396 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory Johns Creek Hospital	Johns creek, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Suwanee Foot And Ankle Specialists Llc	4082016159	2

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. Kelly Tally allows following entities to bill medicare on her behalf.

Provider Name	Suwanee Foot And Ankle Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184292138 PECOS PAC ID: 4082016159 Enrollment ID: O20210712003255

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. Kelly Tally 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
Kelly Tally, DPM 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541 Ph: (470) 589-1204	Kelly Tally, DPM 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541 Ph: (470) 589-1204

Reviews and Comments

Podiatrist in Suwanee, GA

Dr. Rupal Patel Gupta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4355 Johns Creek Pkwy, Suite 520, Suwanee, GA 30024 Phone: 770-418-0456 Fax: 770-418-1603
Dr. Virang Girish Shah, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3925 Johns Creek Ct, Suite C2, Suwanee, GA 30024 Phone: 315-882-1200
Suwanee Foot And Ankle Specialists Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024 Phone: 470-589-1204 Fax: 470-589-1465
Foot And Ankle Health Centers, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 3925 Johns Creek Ct, Suite C2, Suwanee, GA 30024 Phone: 678-871-0876 Fax: 678-871-0836
Dr. Vasudha Rani Shah, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3925 Johns Creek Ct, Suite C2, Suwanee, GA 30024 Phone: 678-871-0876 Fax: 678-871-0836
Dr. Claude I Mayembe Sr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3245 Peachtree Pkwy Ste D-475, Suwanee, GA 30024 Phone: 678-288-9205 Fax: 678-926-3550
Atlanta Podiatry Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4385 Johns Creek Pkwy, Suite 200, Suwanee, GA 30024 Phone: 770-418-0456

Kelly Tally, DPM - Medicare Podiatrist in Suwanee, GA