Christina Sullivan, MD in Sonoma, CA

Christina Sullivan, MD is a medicare enrolled "Pediatrics" physician in Sonoma, California. Her current practice location is 19270 Sonoma Hwy 12, Sonoma, California. You can reach out to her office (for appointments etc.) via phone at (707) 939-6070.

Christina Sullivan is licensed to practice in California (license number A141584) 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 1104231802.

Contact Information

	Christina Sullivan, MD
	19270 Sonoma Hwy 12, Sonoma, CA 95476-5414
	(707) 939-6070
	Not Available

Map and Direction

Physician's Profile

Full Name	Christina Sullivan
Gender	Female
Speciality	Pediatrics
Location	19270 Sonoma Hwy 12, Sonoma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104231802
Provider Enumeration Date: 06/23/2014
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6507135829
Enrollment ID: I20180410002826

Medical Identifiers

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

Identifier	Type	State	Issuer
1104231802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A141584 (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. Christina Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Christina 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
Christina Sullivan, MD 19270 Sonoma Hwy 12, Sonoma, CA 95476 Ph: () -	Christina Sullivan, MD 19270 Sonoma Hwy 12, Sonoma, CA 95476-5414 Ph: (707) 939-6070

Reviews and Comments

Pediatrics Doctors in Sonoma, CA

Janet E Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Arnold Drive, Sonoma, CA 95431 Phone: 707-938-6556
Jerome Charles Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 651 1st St W, Suite H, Sonoma, CA 95476 Phone: 707-938-3870 Fax: 707-938-3895
Mr. Robert Martin Rosenblatt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15000 Arnold Drive, Sonoma, CA 95431 Phone: 707-938-6556
Elizabeth Rose Gawron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 181 Andrieux St, Suite 208, Sonoma, CA 95476 Phone: 707-935-9000 Fax: 707-935-8374
Mr. Charles Francis De Torres, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 181 Andrieux St, Suite 208, Sonoma, CA 95476 Phone: 707-935-9000 Fax: 707-935-8374

Christina Sullivan, MD - Medicare Pediatrics in Sonoma, CA