Kelly Nicole Tullos, MD in Laurel, MS - Medicare

Kelly Nicole Tullos, MD is a medicare enrolled "Family Medicine" physician in Laurel, Mississippi. Her current practice location is 1440 Jefferson St, Laurel, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 428-0577.

Kelly Nicole Tullos is licensed to practice in Mississippi (license number 23841) 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 1508125576.

Contact Information

	Kelly Nicole Tullos, MD
	1440 Jefferson St, Laurel, MS 39440-4243
	(601) 428-0577
	(601) 426-9854

Physician's Profile

Full Name	Kelly Nicole Tullos
Gender	Female
Speciality
Experience	Years
Location	1440 Jefferson St, Laurel, Mississippi
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 Nicole Tullos attended and graduated from in

NPI Data:

NPI Number: 1508125576
Provider Enumeration Date: 05/11/2012
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1508125576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083B0002X	Preventive Medicine - Obesity Medicine	23841 (Mississippi)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	23841 (Mississippi)	Primary

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 Nicole Tullos 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 Nicole Tullos, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 477-8553	Kelly Nicole Tullos, MD 1440 Jefferson St, Laurel, MS 39440-4243 Ph: (601) 428-0577

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Family Medicine Doctors in Laurel, MS

Carol Richardson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 S 12th Ave, Laurel, MS 39440 Phone: 601-399-1970
Dr. Charles Aaron Hollingshead, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-399-6281
Dr. Jonathan J Polhemus, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228
Dr. George R Bush, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th Avenue, Laurel, MS 39440 Phone: 601-649-7600 Fax: 601-649-7628
Dr. Mona Genelle Pernia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281
Callissa G Ladner, NP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1706 W 12th St, Laurel, MS 39440 Phone: 601-369-2028 Fax: 601-649-7805
Dr. Jaishri B Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 604-649-3821 Fax: 601-649-3827

Kelly Nicole Tullos, MD - Medicare in Laurel, MS