Dr Katelyn Sullivan, DO - Medicare Emergency Medicine in Brockton, MA

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Dr Katelyn Sullivan, DO is a medicare enrolled "Emergency Medicine" physician in Brockton, Massachusetts. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice South Shore Health Express Inc, Steward Emergency Physicians Inc and her current practice location is 680 Centre St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 941-7400.

Dr Katelyn Sullivan is licensed to practice in Massachusetts (license number 274956) 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 1205220720.

Contact Information

Dr Katelyn Sullivan, DO
680 Centre St,
Brockton, MA 02302-3308
(508) 941-7400
(508) 941-6200

Map and Direction




Physician's Profile

Full NameDr Katelyn Sullivan
GenderFemale
SpecialityEmergency Medicine
Experience9 Years
Location680 Centre St, Brockton, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Katelyn Sullivan graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1205220720
  • Provider Enumeration Date: 03/23/2015
  • Last Update Date: 09/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567775331
  • Enrollment ID: I20180913001863

Medical Identifiers

Medical identifiers for Dr Katelyn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205220720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 274956 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tufts Medical CenterBoston, MAHospital
Carney HospitalBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Shore Health Express Inc640610883633
Steward Emergency Physicians Inc0244401404148

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 Katelyn Sullivan allows following entities to bill medicare on her behalf.
Entity NameSignature Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508804949
PECOS PAC ID: 7719876267
Enrollment ID: O20040312000372
Entity NameBrockton Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063431286
PECOS PAC ID: 4082504733
Enrollment ID: O20040317000871
Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057
Entity NameTufts Medical Center Ep Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609015262
PECOS PAC ID: 0446306716
Enrollment ID: O20090929000298
Entity NameSteward Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780971275
PECOS PAC ID: 0244401404
Enrollment ID: O20110919000768
Entity NameSouth Shore Health Express Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477044212
PECOS PAC ID: 6406108836
Enrollment ID: O20181115000152

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 Katelyn 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 Katelyn Sullivan, DO
Baystate Medical Ctr, 759 Chestnut Steet,
Springfield, MA 01199-0001

Ph: (413) 794-0000		Dr Katelyn Sullivan, DO
680 Centre St,
Brockton, MA 02302-3308

Ph: (508) 941-7400

Reviews and Comments


Emergency Medicine Doctors in Brockton, MA

Lori F Vazzana, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 680 Centre St, Brockton, MA 02302
Phone: 508-941-7400    Fax: 508-941-6200
Luis E. Ortiz, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 680 Centre St, Brockton, MA 02302
Phone: 508-941-7000    
Dr. Stephen J Simon, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 680 Centre St, Brockton, MA 02302
Phone: 508-941-7000    
Grant Wei, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 680 Centre St, Dept. Of Emergency Medicine, Brockton, MA 02302
Phone: 508-941-7400    
Jacob Kallenberg,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 235 N Pearl St, Brockton, MA 02301
Phone: 508-427-3075    
Daniel Werzanski, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 680 Centre St, Brockton, MA 02302
Phone: 508-941-7000    
Laura A Griffin, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 680 Centre Street, Brockton Hospital, Brockton, MA 02302
Phone: 508-941-7000    

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.

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