Dr Andre Jawann Sullivan, MD - Medicare Counselor in Tyndall Afb, FL

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Dr Andre Jawann Sullivan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Tyndall Afb, Florida. His current practice location is 325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida. You can reach out to his office (for appointments etc.) via phone at (703) 731-2566.

Dr Andre Jawann Sullivan is licensed to practice in Texas (license number R9446) 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 1023162559.

Contact Information

Dr Andre Jawann Sullivan, MD
325 Mdg, 340 Magnolia Circle,
Tyndall Afb, FL 32403
(703) 731-2566
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Andre Jawann Sullivan
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023162559
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 07/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406917285
  • Enrollment ID: I20181219002884

Medical Identifiers

Medical identifiers for Dr Andre Jawann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023162559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 41880 (Tennessee)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry M-16066 (Idaho)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry R9446 (Texas)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. Dr Andre Jawann Sullivan allows following entities to bill medicare on his behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702
Entity NameAustin Travis County Mental Health And Mental Retardation Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750337259
PECOS PAC ID: 9133016306
Enrollment ID: O20040305000036
Entity NamePermian Basin Community Centers For Mental Health & Mental Retardation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700976453
PECOS PAC ID: 8426955865
Enrollment ID: O20040427000950
Entity NameBurke Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396792420
PECOS PAC ID: 1254312077
Enrollment ID: O20040527000661
Entity NameCamino Real Community Mhmr Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154411262
PECOS PAC ID: 9931183449
Enrollment ID: O20040614001095
Entity NameHeart Of Texas Region Mhmr Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639399132
PECOS PAC ID: 9830105105
Enrollment ID: O20060223000214
Entity NameAccess Telecare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013303080
PECOS PAC ID: 7810204831
Enrollment ID: O20150923000991

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. Dr Andre Jawann 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
Dr Andre Jawann Sullivan, MD
325 Mdg, 340 Magnolia Circle,
Tyndall Afb, FL 32403

Ph: (703) 731-2566		Dr Andre Jawann Sullivan, MD
325 Mdg, 340 Magnolia Circle,
Tyndall Afb, FL 32403

Ph: (703) 731-2566

Reviews and Comments


Psychiatry & Neurology in Tyndall Afb, FL


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.