Cory Raymond Sullivan, ASW - Medicare Counselor in Pomona, CA

Cory Raymond Sullivan, ASW is a medicare enrolled "Social Worker - Clinical" provider in Pomona, California. His current practice location is 2008 N Garey Ave, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 623-6131.

Cory Raymond Sullivan is licensed to practice in California (license number 113818) 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 1275069577.

Contact Information

Cory Raymond Sullivan, ASW
2008 N Garey Ave,
Pomona, CA 91767-2722
(909) 623-6131
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCory Raymond Sullivan
GenderMale
SpecialitySocial Worker - Clinical
Location2008 N Garey Ave, Pomona, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275069577
  • Provider Enumeration Date: 05/04/2017
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587029418
  • Enrollment ID: I20230428001526

Medical Identifiers

Medical identifiers for Cory Raymond Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275069577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health ASW84456 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (California)Secondary
1041C0700XSocial Worker - Clinical 113818 (California)Primary

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. Cory Raymond Sullivan allows following entities to bill medicare on his behalf.
Entity NameGrow Healthcare Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080

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. Cory Raymond 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
Cory Raymond Sullivan, ASW
2008 N Garey Ave,
Pomona, CA 91767-2722

Ph: (909) 623-6131
Cory Raymond Sullivan, ASW
2008 N Garey Ave,
Pomona, CA 91767-2722

Ph: (909) 623-6131

Reviews and Comments


Social Worker in Pomona, CA


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.