Cody Sullivan, MD in Paducah, KY - Medicare Internal Medicine

Cody Sullivan, MD is a medicare enrolled "Internal Medicine" physician in Paducah, Kentucky. His current practice location is 1530 Lone Oak Rd, Paducah, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 444-2444.

Cody Sullivan is licensed to practice in Kentucky (license number 57052) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922531458.

Contact Information

	Cody Sullivan, MD
	1530 Lone Oak Rd, Paducah, KY 42003-7900
	(270) 444-2444
	Not Available

Map and Direction

Physician's Profile

Full Name	Cody Sullivan
Gender	Male
Speciality	Internal Medicine
Location	1530 Lone Oak Rd, Paducah, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922531458
Provider Enumeration Date: 04/11/2017
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 1456764588
Enrollment ID: I20220728000961

Medical Identifiers

Medical identifiers for Cody Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922531458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	TP934 (Kentucky)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	57052 (Kentucky)	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. Cody Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Hospital Medicine Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160803001623

Entity Name	App Of Tennessee Hm, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20190801002308

Entity Name	Green Valley Hospital Medicine Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215604236 PECOS PAC ID: 3779973839 Enrollment ID: O20231115001741

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. Cody 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 Address	Practice Location Address
Cody Sullivan, MD 550 S Jackson St Fl 3, Louisville, KY 40202-1622 Ph: (502) 852-5666	Cody Sullivan, MD 1530 Lone Oak Rd, Paducah, KY 42003-7900 Ph: (270) 444-2444

Reviews and Comments

Internal Medicine Doctors in Paducah, KY

Mr. Danny Neale Butler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Kentucky Avenue, Suite 303, Paducah, KY 42003 Phone: 270-443-2900 Fax: 270-443-7122
Winston Chua, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Kentucky Ave, Suite 403, Paducah, KY 42003 Phone: 270-444-3930 Fax: 270-442-5284
Lingaiah Chandrashekar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr Ste 308, Paducah, KY 42003 Phone: 270-443-0777 Fax: 270-443-0999
Gary Bodnarchuk, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003 Phone: 270-443-0777 Fax: 270-443-0999
Dr. Bradley B Mcelroy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave, Suite 301, Paducah, KY 42003 Phone: 270-575-3113 Fax: 270-575-3135
Benjamin Howard Thompson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-8472
Joseph A Bassi Ii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3131 Parisa Dr, Paducah, KY 42003 Phone: 270-444-8000 Fax: 270-444-8302

Cody Sullivan, MD - Medicare Internal Medicine in Paducah, KY