Lisa Tully, - Medicare Psychologist in Santa Ana, CA

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Lisa Tully, is a medicare enrolled "Psychologist" provider in Santa Ana, California. Her current practice location is 2500 Redhill Ave, Ste 290a, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at (949) 267-0201.

Lisa Tully is licensed to practice in California (license number PSY26013) 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 1235539784.

Contact Information

Lisa Tully,
2500 Redhill Ave, Ste 290a,
Santa Ana, CA 92705-5518
(949) 267-0201
(949) 267-0299

Map and Direction




Healthcare Provider's Profile

Full NameLisa Tully
GenderFemale
SpecialityPsychologist
Location2500 Redhill Ave, Santa Ana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235539784
  • Provider Enumeration Date: 09/02/2014
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355566241
  • Enrollment ID: I20140709001682

Medical Identifiers

Medical identifiers for Lisa Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235539784NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY26013 (California)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. Lisa Tully allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameUc Regents Uci Dept Of Pediatrics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235187311
PECOS PAC ID: 5395649222
Enrollment ID: O20031121000860

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. Lisa 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 AddressPractice Location Address
Lisa Tully,
10725 International Dr,
Rancho Cordova, CA 95670-7967

Ph: (949) 267-0201		Lisa Tully,
2500 Redhill Ave, Ste 290a,
Santa Ana, CA 92705-5518

Ph: (949) 267-0201

Reviews and Comments


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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).

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