Dr Michael Jude Sullivan, MD in Kingsport, TN

Dr Michael Jude Sullivan, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Kingsport, Tennessee. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1979 and has 45 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Sullivan And Ptrs and his current practice location is 2204 Pavilion Dr Ste 108, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 392-6100.

Dr Michael Jude Sullivan is licensed to practice in Tennessee (license number 15419) 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 1326023078.

Contact Information

	Dr Michael Jude Sullivan, MD
	2204 Pavilion Dr Ste 108, Kingsport, TN 37660-4651
	(423) 392-6100
	(423) 392-0803

Map and Direction

Physician's Profile

Full Name	Dr Michael Jude Sullivan
Gender	Male
Speciality	Gastroenterology
Experience	45 Years
Location	2204 Pavilion Dr Ste 108, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Michael Jude Sullivan attended and graduated from Icahn School Of Medicine At Mount Sinai in 1979

NPI Data:

NPI Number: 1326023078
Provider Enumeration Date: 12/14/2005
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5799865176
Enrollment ID: I20110214000142

Medical Identifiers

Medical identifiers for Dr Michael Jude Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326023078	NPI	-	NPPES
3006621	Medicaid	TN
000035347	Other	TN	BLUECARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	15419 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sullivan And Ptrs	5890875264	4

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 Michael Jude Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Sullivan And Ptrs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003981093 PECOS PAC ID: 5890875264 Enrollment ID: O20080110000542

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 Michael Jude 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 Michael Jude Sullivan, MD 2204 Pavilion Dr Ste 108, Kingsport, TN 37660-4651 Ph: (423) 392-6100	Dr Michael Jude Sullivan, MD 2204 Pavilion Dr Ste 108, Kingsport, TN 37660-4651 Ph: (423) 392-6100

Reviews and Comments

Internal Medicine Doctors in Kingsport, TN

Annette Marie Abril, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3 Sheridan Sq, Kingsport, TN 37660 Phone: 423-392-6840 Fax: 423-392-6845
Rakeshkumar Bhagwandas Patel, M.D., MBA Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1025 Executive Park Blvd, Kingsport, TN 37660 Phone: 423-830-8110 Fax: 423-473-1102
Larry J Foster, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 111 W Stone Dr, Suite 100, Kingsport, TN 37660 Phone: 423-247-5197 Fax: 423-247-5254
Dr. Adam Wesley Coe, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 135 W Ravine Rd, Suite 3a, Kingsport, TN 37660 Phone: 423-246-6777 Fax: 423-246-7766
Dr. Hetvi Kiritkumar Joshi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-230-8502
Dr. Kim Zahnke, M.D. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 2000 Brookside Dr, Third Floor, Kingsport, TN 37660 Phone: 423-857-5907 Fax: 423-857-5904
Dr. Dallas Shone, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 4c, Kingsport, TN 37660 Phone: 423-578-1595 Fax: 423-392-6624

Dr Michael Jude Sullivan, MD - Medicare Gastroenterology in Kingsport, TN