Mr Jeremiah O'sullivan, MD in Buffalo, NY - Medicare Internal Medicine

Mr Jeremiah O'sullivan, MD is a medicare enrolled "Internal Medicine" physician in Buffalo, New York. His current practice location is 2218 Main Street, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 834-4141.

Mr Jeremiah O'sullivan is licensed to practice in New York (license number 100021) 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 1104893833.

Contact Information

	Mr Jeremiah O'sullivan, MD
	2218 Main Street, Buffalo, NY 14214
	(716) 834-4141
	(716) 838-5840

Map and Direction

Physician's Profile

Full Name	Mr Jeremiah O'sullivan
Gender	Male
Speciality	Internal Medicine
Location	2218 Main Street, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104893833
Provider Enumeration Date: 03/01/2006
Last Update Date: 07/10/2019

Medicare PECOS Information:

PECOS PAC ID: 3274663935
Enrollment ID: I20100608000130

Medical Identifiers

Medical identifiers for Mr Jeremiah O'sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104893833	NPI	-	NPPES
00611243	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	100021 (New York)	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. Mr Jeremiah O'sullivan allows following entities to bill medicare on his behalf.

Entity Name	General Physician Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154

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. Mr Jeremiah O'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
Mr Jeremiah O'sullivan, MD 2218 Main Street, Buffalo, NY 14214 Ph: (716) 834-4141	Mr Jeremiah O'sullivan, MD 2218 Main Street, Buffalo, NY 14214 Ph: (716) 834-4141

Reviews and Comments

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Mr Jeremiah O'sullivan, MD - Medicare Internal Medicine in Buffalo, NY