Ryan Sean Sullivan, DO - Medicare Anesthesiology in Jackson, MI

Ryan Sean Sullivan, DO is a medicare enrolled "Anesthesiology" physician in Jackson, Michigan. His current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 205-3964.

Ryan Sean Sullivan is licensed to practice in Indiana (license number 02006712A) 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 1447743232.

Contact Information

Ryan Sean Sullivan, DO
205 N East Ave,
Jackson, MI 49201-1753
(517) 205-3964
(517) 205-7050

Map and Direction




Physician's Profile

Full NameRyan Sean Sullivan
GenderMale
SpecialityAnesthesiology
Location205 N East Ave, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447743232
  • Provider Enumeration Date: 06/07/2018
  • Last Update Date: 10/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860747920
  • Enrollment ID: I20230124003246

Medical Identifiers

Medical identifiers for Ryan Sean Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447743232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 02006712A (Indiana)Primary
390200000XStudent In An Organized Health Care Education/training Program 510102407 (Michigan)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. Ryan Sean Sullivan allows following entities to bill medicare on his behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288

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. Ryan Sean 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
Ryan Sean Sullivan, DO
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -
Ryan Sean Sullivan, DO
205 N East Ave,
Jackson, MI 49201-1753

Ph: (517) 205-3964

Reviews and Comments


Anesthesiology Doctors in Jackson, MI

Dr. Melinda Mitchell, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-7836    
Clemon Pardales, D.O.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2775 Blake Rd, Jackson, MI 49201
Phone: 517-787-2906    Fax: 517-787-3039
Jose J. Rivera-melendez, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2775 Blake Rd, Jackson, MI 49201
Phone: 517-787-2906    Fax: 517-787-3039
Dr. Vinay Anad-raj Pallekonda, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 255 W Michigan Ave, Jackson, MI 49201
Phone: 517-787-6440    Fax: 517-787-7230
Dr. Daniel Robert Grutter, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 205 North East Ave, Anesthesia Department, Jackson, MI 49201
Phone: 517-205-3240    
Dr. Yung I Park, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 255 W Michigan Ave, Jackson, MI 49201
Phone: 517-787-6440    Fax: 517-787-4146
Nicole M Horning,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-4800    

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.