Dr Bart Sullivan, MD in Tehachapi, CA - Medicare Emergency Medicine

Dr Bart Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Tehachapi, California. His current practice location is 115 W E St, Tehachapi, California. You can reach out to his office (for appointments etc.) via phone at (661) 822-3241.

Dr Bart Sullivan is licensed to practice in California (license number A31288) 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 1316085160.

Contact Information

	Dr Bart Sullivan, MD
	115 W E St, Tehachapi, CA 93561-1607
	(661) 822-3241
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bart Sullivan
Gender	Male
Speciality	Emergency Medicine
Location	115 W E St, Tehachapi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316085160
Provider Enumeration Date: 02/02/2007
Last Update Date: 04/15/2011

Medicare PECOS Information:

PECOS PAC ID: 8325016926
Enrollment ID: I20040921001341

Medical Identifiers

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

Identifier	Type	State	Issuer
1316085160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A31288 (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. Dr Bart Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Regal Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588748073 PECOS PAC ID: 3779529979 Enrollment ID: O20050628000903

Entity Name	Lakeside Medical Organization A Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015

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 Bart 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
Dr Bart Sullivan, MD 1221 Snowbird Dr, Frazier Park, CA 93225-9693 Ph: (661) 245-0135	Dr Bart Sullivan, MD 115 W E St, Tehachapi, CA 93561-1607 Ph: (661) 822-3241

Reviews and Comments

Emergency Medicine Doctors in Tehachapi, CA

Roy C. Peterson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 West E Street, Tehachapi, CA 93581 Phone: 661-972-2874 Fax: 661-823-8106
Vijay K Mohan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 W E St, Tehachapi, CA 93561 Phone: 800-444-7009
Fil Barrozo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 W E St, Tehachapi, CA 93561 Phone: 661-822-3241
Manuel Garrido, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 W E St, Tehachapi, CA 93561 Phone: 661-822-3241

Dr Bart Sullivan, MD - Medicare Emergency Medicine in Tehachapi, CA