Timothy Michael Sullivan, MD in Minneapolis, MN

Timothy Michael Sullivan, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Minneapolis, Minnesota. His current practice location is 920 E 28th St, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 863-6800.

Timothy Michael Sullivan is licensed to practice in Minnesota (license number 44841) 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 1063484061.

Contact Information

	Timothy Michael Sullivan, MD
	920 E 28th St, Minneapolis, MN 55407-1139
	(612) 863-6800
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy Michael Sullivan
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	920 E 28th St, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063484061
Provider Enumeration Date: 02/03/2006
Last Update Date: 11/14/2011

Medicare PECOS Information:

PECOS PAC ID: 1557377991
Enrollment ID: I20080128000150

Medical Identifiers

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

Identifier	Type	State	Issuer
1063484061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	44841 (Minnesota)	Primary
2085R0204X	Radiology - Vascular & Interventional Radiology	44841 (Minnesota)	Secondary
2086S0129X	Surgery - Vascular Surgery	5847 (South Dakota)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	5847 (South Dakota)	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. Timothy Michael Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Minneapolis Heart Institute At Ridgeview Heart Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871780478 PECOS PAC ID: 1254418403 Enrollment ID: O20080411000417

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. Timothy Michael 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
Timothy Michael Sullivan, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Timothy Michael Sullivan, MD 920 E 28th St, Minneapolis, MN 55407-1139 Ph: (612) 863-6800

Reviews and Comments

Surgery Doctors in Minneapolis, MN

Jessica M Gutierrez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404 Phone: 612-863-7770 Fax: 612-863-7772
Thomas Mark Suszynski, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-273-8383
Dr. Ernest William Lampe, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3329 University Avenue Se, Minneapolis, MN 55414 Phone: 612-454-2260 Fax: 612-454-2340
Robert Hampton Rich, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2530 Chicago Ave, #550, Minneapolis, MN 55404 Phone: 612-813-8000 Fax: 612-813-8005
Jason James Rasmussen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St, Suite 300, Minneapolis, MN 55407 Phone: 612-863-6800
Dr. Katherin Eliza Leckie, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407 Phone: 612-863-6800 Fax: 612-863-6006
Dr. Edmund Chute, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-7501 Fax: 612-863-1585

Timothy Michael Sullivan, MD - Medicare Surgery in Minneapolis, MN