Dr Patrick Sean Sullivan, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Atlanta, Georgia. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Matrix Rehabilitation-georgia Inc, The Emory Clinic Inc and his current practice location is
1364 Clifton Rd Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 686-1000.
Dr Patrick Sean Sullivan is licensed to practice in Minnesota (license number 53485) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1790969780.
Physician's Profile
| Full Name | Dr Patrick Sean Sullivan |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 20 Years |
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| Location | 1364 Clifton Rd Ne, Atlanta, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Patrick Sean Sullivan graduated from medical school in 2005
NPI Data:
- NPI Number: 1790969780
- Provider Enumeration Date: 12/26/2007
- Last Update Date: 08/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 0749304731
- Enrollment ID: I20110809000816
Medical Identifiers
Medical identifiers for Dr Patrick Sean Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790969780 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 001510 (Georgia) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 53485 (Minnesota) | Primary |
| 208C00000X | Colon & Rectal Surgery | 104964 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Matrix Rehabilitation-georgia Inc | 2567379498 | 24 |
| The Emory Clinic Inc | 8820901408 | 3084 |
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 Patrick Sean Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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| Entity Name | Emory Medical Care Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
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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 Patrick Sean 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 Patrick Sean Sullivan, MD 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 Ph: (404) 686-1000 | Dr Patrick Sean Sullivan, MD 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 Ph: (404) 686-1000 |
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