John Owen Tully, MD - Medicare Gastroenterology in Brooklyn, OH

John Owen Tully, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Brooklyn, Ohio. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice North Shore Gastroenterology, Inc. and his current practice location is 7580 Northcliff Ave Ste 1000, Brooklyn, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 808-1212.

John Owen Tully is licensed to practice in Ohio (license number 35.097547) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265619993.

Contact Information

John Owen Tully, MD
7580 Northcliff Ave Ste 1000,
Brooklyn, OH 44144-3271
(440) 808-1212
(440) 808-0321



Physician's Profile

Full NameJohn Owen Tully
GenderMale
SpecialityGastroenterology
Experience19 Years
Location7580 Northcliff Ave Ste 1000, Brooklyn, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Owen Tully attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2005
  NPI Data:
  • NPI Number: 1265619993
  • Provider Enumeration Date: 01/24/2008
  • Last Update Date: 01/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305993577
  • Enrollment ID: I20110801000260

Medical Identifiers

Medical identifiers for John Owen Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265619993NPI-NPPES
0050898MedicaidOH
P00992476OtherOHMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 35.097547 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview HospitalCleveland, OHHospital
Cleveland Clinic Avon HospitalAvon, OHHospital
Uh St John Medical CenterWestlake, OHHospital
Southwest General Health CenterMiddleburg heights, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore Gastroenterology, Inc.307240938224

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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. John Owen Tully allows following entities to bill medicare on his behalf.
Entity NameNorth Shore Gastroenterology, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932121050
PECOS PAC ID: 3072409382
Enrollment ID: O20040224000970

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Entity NameNorth Shore Pathology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245591965
PECOS PAC ID: 8527224567
Enrollment ID: O20230919002355

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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. John Owen 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
John Owen Tully, MD
850 Columbia Rd, Ste 200,
Westlake, OH 44145-7215

Ph: (216) 767-5664
John Owen Tully, MD
7580 Northcliff Ave Ste 1000,
Brooklyn, OH 44144-3271

Ph: (440) 808-1212

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Internal Medicine Doctors in Brooklyn, OH

Dr. Pamela Kay Hilton, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 7575 Northcliff Ave, Suite 307, Brooklyn, OH 44144
Phone: 216-749-8277    Fax: 216-749-8273
Julius Bruce Resnik, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 7575 Northcliff Ave, Suite 200, Brooklyn, OH 44144
Phone: 216-749-8279    Fax: 216-749-8210
Charles Wesley Williams, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 7575 Northcliff Ave, Suite 200, Brooklyn, OH 44144
Phone: 216-749-8279    Fax: 216-749-8210
Ruben A Miguel, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 7575 Northcliff Ave, Suite 102, Brooklyn, OH 44144
Phone: 216-398-8196    Fax: 216-398-8192
John V Cua, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 9937 Shady Ln, Brooklyn, OH 44144
Phone: 216-741-3627    
Lawrence A Detwiler, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 7575 Northcliff Ave, Suite 102, Brooklyn, OH 44144
Phone: 216-398-8196    Fax: 216-398-8192

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