Dr Andre Jawann Sullivan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Tyndall Afb, Florida. He went to Meharry Medical College School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Access Telecare Pllc, Access Telecare Pllc, Access Telecare Pllc, Access Telecare Pllc, Access Telecare California Pc, Access Telecare Pllc, Access Telecare California Pc, Access Telecare Pllc, Rockford Health Physicians and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023162559.
Physician's Profile
| Full Name | Dr Andre Jawann Sullivan |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 27 Years |
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| Location | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Andre Jawann Sullivan attended and graduated from Meharry Medical College School Of Medicine in 1999
NPI Data:
- NPI Number: 1023162559
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 04/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 6406917285
- Enrollment ID: I20250319003181
Medical Identifiers
Medical identifiers for Dr Andre Jawann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023162559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-16066 (Idaho) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R9446 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 41880 (Tennessee) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036.175093 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Access Telecare Pllc | 7810204831 | 401 |
| Access Telecare Pllc | 7810204831 | 401 |
| Access Telecare Pllc | 7810204831 | 401 |
| Access Telecare Pllc | 7810204831 | 401 |
| Access Telecare California Pc | 8325373525 | 83 |
| Access Telecare Pllc | 7810204831 | 401 |
| Access Telecare California Pc | 8325373525 | 83 |
| Access Telecare Pllc | 7810204831 | 401 |
| Rockford Health Physicians | 2567374036 | 518 |
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 Name | Access Telecare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013303080
PECOS PAC ID: 7810204831
Enrollment ID: O20200910002385 |
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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 Address | Practice 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 |
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