Mack Lee Sullivan, MD - Medicare Internal Medicine in Tuckahoe, NY

Mack Lee Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Tuckahoe, New York. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 150 Lake Ave, Tuckahoe, New York. You can reach out to his office (for appointments etc.) via phone at (914) 395-3691.

Mack Lee Sullivan is licensed to practice in New York (license number 203477-1) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1881616068.

Contact Information

Mack Lee Sullivan, MD
150 Lake Ave,
Tuckahoe, NY 10707-3306
(914) 395-3691
(914) 395-3693

Map and Direction




Physician's Profile

Full NameMack Lee Sullivan
GenderMale
SpecialityInternal Medicine
Experience29 Years
Location150 Lake Ave, Tuckahoe, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mack Lee Sullivan attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1995
  NPI Data:
  • NPI Number: 1881616068
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 08/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5698764314
  • Enrollment ID: I20040508000152

Medical Identifiers

Medical identifiers for Mack Lee Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881616068NPI-NPPES
5C5609OtherNYHEALTHNET

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 203477-1 (New York)Primary
208100000XPhysical Medicine & Rehabilitation 203477 (New York)Secondary

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. Mack Lee Sullivan allows following entities to bill medicare on his behalf.
Entity NameFitness & Recovery Medical Practice, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114164225
PECOS PAC ID: 3870639990
Enrollment ID: O20091003000025
Entity Name369 Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376141325
PECOS PAC ID: 5496155376
Enrollment ID: O20210615000800

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. Mack Lee 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
Mack Lee Sullivan, MD
369 White Plains Rd,
Eastchester, NY 10709-2805

Ph: (914) 395-3691
Mack Lee Sullivan, MD
150 Lake Ave,
Tuckahoe, NY 10707-3306

Ph: (914) 395-3691

Reviews and Comments


Emergency Medicine Doctors in Tuckahoe, NY

Dr. Gerald M Brody, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 43 Read Ave, Tuckahoe, NY 10707
Phone: 914-961-0482    

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.