Kathryn Sullivan, MD in Travis Afb, CA

Kathryn Sullivan, MD is a medicare enrolled "Urology" physician in Travis Afb, California. She went to George Washington University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Urology. She is a member of the group practice Fauquier Physician Practices Llc, Tidalhealth Specialty Care Llc and her current practice location is 60 Mdg, 101 Bodin Circle, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-7401.

Kathryn Sullivan is licensed to practice in Virginia (license number 0101249048) 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 1487700167.

Contact Information

	Kathryn Sullivan, MD
	60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1800
	(707) 423-7401
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathryn Sullivan
Gender	Female
Speciality	Urology
Experience	19 Years
Location	60 Mdg, Travis Afb, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathryn Sullivan attended and graduated from George Washington University School Of Medicine in 2005

NPI Data:

NPI Number: 1487700167
Provider Enumeration Date: 01/26/2007
Last Update Date: 08/13/2012

Medicare PECOS Information:

PECOS PAC ID: 2860631884
Enrollment ID: I20141021002782

Medical Identifiers

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

Identifier	Type	State	Issuer
1487700167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	0101249048 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fauquier Hospital	Warrenton, VA	Hospital
Peninsula Regional Medical Center	Salisbury, MD	Hospital
Novant Health Uva Health System Culpeper Med Cente	Culpeper, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fauquier Physician Practices Llc	6406083104	34
Tidalhealth Specialty Care Llc	7113340845	182

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. Kathryn Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Fauquier Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770916983 PECOS PAC ID: 6406083104 Enrollment ID: O20131227001299

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. Kathryn 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
Kathryn Sullivan, MD 60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1800 Ph: (720) 220-4403	Kathryn Sullivan, MD 60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1800 Ph: (707) 423-7401

Reviews and Comments

Urology Doctors in Travis Afb, CA

Dr. Yurong Mai, MD Urology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7402
Dr. Joseph William Pugh, M.D. Urology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/ Sgcxu, Travis Afb, CA 94535 Phone: 707-423-7401
Dr. Alexander Lo, MD Urology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7402

Kathryn Sullivan, MD - Medicare Urology in Travis Afb, CA