Eric Scott Sullivan, DO in Fort Smith, AR - Medicare Emergency Medicine

Eric Scott Sullivan, DO is a medicare enrolled "Emergency Medicine" physician in Fort Smith, Arkansas. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc and his current practice location is 1001 Towson Ave, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 441-5011.

Eric Scott Sullivan is licensed to practice in Arkansas (license number E-15391) 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 1144716598.

Contact Information

	Eric Scott Sullivan, DO
	1001 Towson Ave, Fort Smith, AR 72901-4921
	(479) 441-5011
	(479) 441-4932

Map and Direction

Physician's Profile

Full Name	Eric Scott Sullivan
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	1001 Towson Ave, Fort Smith, Arkansas
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:

Eric Scott Sullivan attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2018

NPI Data:

NPI Number: 1144716598
Provider Enumeration Date: 07/09/2018
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 0840522116
Enrollment ID: I20220623001115

Medical Identifiers

Medical identifiers for Eric Scott Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144716598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	6772 (Oklahoma)	Secondary
207P00000X	Emergency Medicine	E-15391 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health - Fort Smith	Fort smith, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Llc	2466364997	627

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. Eric Scott Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Baptist Medcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699868323 PECOS PAC ID: 5698667624 Enrollment ID: O20040325001348

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201

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. Eric Scott 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
Eric Scott Sullivan, DO 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (479) 441-5011	Eric Scott Sullivan, DO 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-5011

Reviews and Comments

Emergency Medicine Doctors in Fort Smith, AR

Thomas Stephen Leitzsch, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6241 Fax: 479-452-0275
Dr. Bruce Leroy Crabtree, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6242
James Cary Wilson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7301 Rogers Ave., Emergency Department, Fort Smith, AR 72903 Phone: 479-484-6241 Fax: 479-484-6240
Mark Alan Horan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Er Dept., Fort Smith, AR 72901 Phone: 479-441-5011 Fax: 405-749-4561
Andrew Bradley Starnes, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Dr. Dwight Joseph Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6100 Massard Rd, Fort Smith, AR 72916 Phone: 479-709-7250 Fax: 479-709-7251

Eric Scott Sullivan, DO - Medicare Emergency Medicine in Fort Smith, AR