Dr Manly Jackson Sullivan, MEDICAL DOCTOR - Medicare Emergency Medicine in Carrollton, AL

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Dr Manly Jackson Sullivan, MEDICAL DOCTOR is a medicare enrolled "Emergency Medicine" physician in Carrollton, Alabama. He went to University Of Alabama School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lakeland Physicians, Llc, Nwmc Emergency Physicians Llc, Relias Emergency Medicine Specialists Of Fayette Llc and his current practice location is 241 Robert K Wilson Dr, Carrollton, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 367-2408.

Dr Manly Jackson Sullivan is licensed to practice in Alabama (license number 20081) 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 1003804352.

Contact Information

Dr Manly Jackson Sullivan, MEDICAL DOCTOR
241 Robert K Wilson Dr,
Carrollton, AL 35447-8010
(205) 367-2408
(205) 367-9123

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Physician's Profile

Full NameDr Manly Jackson Sullivan
GenderMale
SpecialityEmergency Medicine
Experience29 Years
Location241 Robert K Wilson Dr, Carrollton, Alabama
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 Manly Jackson Sullivan attended and graduated from University Of Alabama School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1003804352
  • Provider Enumeration Date: 10/11/2005
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8224226709
  • Enrollment ID: I20101228000532

Medical Identifiers

Medical identifiers for Dr Manly Jackson Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003804352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20081 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland Community HospitalHaleyville, ALHospital
Fayette Medical CenterFayette, ALHospital
Northwest Medical CenterWinfield, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Physicians, Llc04465782987
Nwmc Emergency Physicians Llc09416041697
Relias Emergency Medicine Specialists Of Fayette Llc68001476047

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 Manly Jackson Sullivan allows following entities to bill medicare on his behalf.
Entity NamePickens County Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093069569
PECOS PAC ID: 3678708427
Enrollment ID: O20140109001299
Entity NameLakeland Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851780951
PECOS PAC ID: 0446578298
Enrollment ID: O20150408000559
Entity NameRelias Emergency Medicine Specialists Of Fayette Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201543
PECOS PAC ID: 6800147604
Enrollment ID: O20180918001531
Entity NameNwmc Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134708506
PECOS PAC ID: 0941604169
Enrollment ID: O20210811000258

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 Manly Jackson 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 Manly Jackson Sullivan, MEDICAL DOCTOR
241 Robert K Wilson Dr,
Carrollton, AL 35447-8010

Ph: (205) 367-2408		Dr Manly Jackson Sullivan, MEDICAL DOCTOR
241 Robert K Wilson Dr,
Carrollton, AL 35447-8010

Ph: (205) 367-2408

Reviews and Comments


Emergency Medicine Doctors in Carrollton, AL

Dr. William R Brooke, MEDICAL DOCTOR
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 241 Robert K Wilson Dr, Carrollton, AL 35447
Phone: 205-367-2408    Fax: 205-367-9123
Dr. Nikki Lee Christensen, MEDICAL DOCTORS
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 241 Robert K Wilson Dr, Carrollton, AL 35447
Phone: 205-367-2408    Fax: 205-367-9123

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.