Abigayle Sullivan, DO - Medicare Internal Medicine in West Reading, PA

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Abigayle Sullivan, DO is a medicare enrolled "Internal Medicine" physician in West Reading, Pennsylvania. Her current practice location is 420 S 5th Ave, West Reading, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 628-8640.

Abigayle Sullivan is licensed to practice in Pennsylvania (license number OT018775) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053805077.

Contact Information

Abigayle Sullivan, DO
420 S 5th Ave,
West Reading, PA 19611-2143
(484) 628-8640
(484) 628-9003

Map and Direction




Physician's Profile

Full NameAbigayle Sullivan
GenderFemale
SpecialityInternal Medicine
Location420 S 5th Ave, West Reading, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053805077
  • Provider Enumeration Date: 06/22/2018
  • Last Update Date: 06/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8426306739
  • Enrollment ID: I20220617001933

Medical Identifiers

Medical identifiers for Abigayle Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053805077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OT018775 (Pennsylvania)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. Abigayle Sullivan allows following entities to bill medicare on her behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072

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. Abigayle 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
Abigayle Sullivan, DO
Po Box 13579,
Reading, PA 19612-3579

Ph: () -		Abigayle Sullivan, DO
420 S 5th Ave,
West Reading, PA 19611-2143

Ph: (484) 628-8640

Reviews and Comments


Internal Medicine Doctors in West Reading, PA

Ankush Lahoti, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, Suite 2020, West Reading, PA 19611
Phone: 610-375-6565    Fax: 610-375-2065
Tayyab Ali Waheed, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8640    Fax: 484-628-9003
Nyein Yu, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-5455    
Richard Loynd, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 6th Avenue And Spruce Street, West Reading, PA 19611
Phone: 484-628-8640    Fax: 484-628-9003
Krysta Brown, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave Ste 340, West Reading, PA 19611
Phone: 484-628-8640    Fax: 484-628-9003
Niranjan Tachamo, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-5455    
Earl J Hope, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, Suite 2020, West Reading, PA 19611
Phone: 610-375-6565    Fax: 610-375-2065

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.