Dr Jimmy Brian Sullivan, DC - Medicare Chiropractor in Tyler, TX

Dr Jimmy Brian Sullivan, DC is a medicare enrolled "Chiropractor" provider in Tyler, Texas. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Chiropractic. His current practice location is 1540 Rice Rd Ste 400, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 597-9021.

Dr Jimmy Brian Sullivan is licensed to practice in Texas (license number 12808) 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 1619368941.

Contact Information

Dr Jimmy Brian Sullivan, DC
1540 Rice Rd Ste 400,
Tyler, TX 75703-3223
(903) 597-9021
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jimmy Brian Sullivan
GenderMale
SpecialityChiropractic
Experience11 Years
Location1540 Rice Rd Ste 400, Tyler, Texas
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:
  • Dr Jimmy Brian Sullivan graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1619368941
  • Provider Enumeration Date: 02/09/2015
  • Last Update Date: 01/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971873118
  • Enrollment ID: I20170721000719

Medical Identifiers

Medical identifiers for Dr Jimmy Brian Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619368941NPI-NPPES
583300AC3ZOtherTXMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 12808 (Texas)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. Dr Jimmy Brian Sullivan allows following entities to bill medicare on his behalf.
Provider NameFour-ten Enterprise, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619497401
PECOS PAC ID: 0345510574
Enrollment ID: O20170721000320

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. Dr Jimmy Brian Sullivan 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
Dr Jimmy Brian Sullivan, DC
1540 Rice Rd Ste 400,
Tyler, TX 75703-3223

Ph: (903) 597-9021
Dr Jimmy Brian Sullivan, DC
1540 Rice Rd Ste 400,
Tyler, TX 75703-3223

Ph: (903) 597-9021

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.