Ryan J Sullivan, MD in Tuscaloosa, AL

Ryan J Sullivan, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Tuscaloosa, Alabama. His current practice location is 809 University Blvd E, Tuscaloosa, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 759-6925.

Ryan J Sullivan is licensed to practice in Illinois (license number 036-113954) 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 1376562694.

Contact Information

	Ryan J Sullivan, MD
	809 University Blvd E, Tuscaloosa, AL 35401-2071
	(205) 759-6925
	Not Available

Map and Direction

Physician's Profile

Full Name	Ryan J Sullivan
Gender	Male
Speciality	Surgery - Trauma Surgery
Location	809 University Blvd E, Tuscaloosa, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376562694
Provider Enumeration Date: 07/18/2006
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 4880697085
Enrollment ID: I20060808000350

Medical Identifiers

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

Identifier	Type	State	Issuer
1376562694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0127X	Surgery - Trauma Surgery	036-113954 (Illinois)	Primary
2086S0102X	Surgery - Surgical Critical Care	036-113954 (Illinois)	Secondary
2086S0102X	Surgery - Surgical Critical Care	558-320 (Wisconsin)	Secondary
2086S0127X	Surgery - Trauma Surgery	37362 (Alabama)	Secondary

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. Ryan J Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Mount Sinai Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032

Entity Name	Cep America Illinois Intensivists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821641499 PECOS PAC ID: 0345535449 Enrollment ID: O20160829002157

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. Ryan J 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
Ryan J Sullivan, MD 2259 W Saint Paul Ave, Chicago, IL 60647-5425 Ph: () -	Ryan J Sullivan, MD 809 University Blvd E, Tuscaloosa, AL 35401-2071 Ph: (205) 759-6925

Reviews and Comments

Surgery Doctors in Tuscaloosa, AL

Dr. James M Corder Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406 Phone: 205-333-4949 Fax: 205-333-4660
Joseph Claude Wallace, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1031 Fairfax Park, Tuscaloosa, AL 35406 Phone: 205-345-2211 Fax: 205-345-2220
William Ford Simpson Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E, Suite 808, Tuscaloosa, AL 35401 Phone: 205-759-5640 Fax: 205-759-5639
Glenn C Wheeling, P..A. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1031 Fairfax Park, Tuscaloosa, AL 35406 Phone: 205-345-2211 Fax: 205-345-2220
Grayson William Menard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E Ste 606, Tuscaloosa, AL 35401 Phone: 205-752-2501 Fax: 205-759-5874
Mr. Ahmed Saleh Farah, MD Surgery Medicare: Medicare Enrolled Practice Location: 1060 Fairfax Park, Ste B, Tuscaloosa, AL 35406 Phone: 205-758-6471 Fax: 205-758-6472
Naresh Kumar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 University Blvd E, Suite 303, Tuscaloosa, AL 35401 Phone: 205-345-4313 Fax: 205-345-4314

Ryan J Sullivan, MD - Medicare Surgery in Tuscaloosa, AL