Gerald Bland Sullivan, MD in Putnam, CT - Medicare Family Medicine

Gerald Bland Sullivan, MD is a medicare enrolled "Family Medicine" physician in Putnam, Connecticut. His current practice location is 7 Kennedy Dr, Putnam, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 928-6541.

Gerald Bland Sullivan is licensed to practice in Connecticut (license number 024782) 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 1154396927.

Contact Information

	Gerald Bland Sullivan, MD
	7 Kennedy Dr, Putnam, CT 06260-1939
	(860) 928-6541
	(860) 928-8268

Map and Direction

Physician's Profile

Full Name	Gerald Bland Sullivan
Gender	Male
Speciality	Family Medicine
Location	7 Kennedy Dr, Putnam, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154396927
Provider Enumeration Date: 02/23/2006
Last Update Date: 05/13/2013

Medicare PECOS Information:

PECOS PAC ID: 0749317188
Enrollment ID: I20100416000324

Medical Identifiers

Medical identifiers for Gerald Bland Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154396927	NPI	-	NPPES
001247824	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	024782 (Connecticut)	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. Gerald Bland Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Day Kimball Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091

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. Gerald Bland 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
Gerald Bland Sullivan, MD 7 Kennedy Dr, Putnam, CT 06260-1939 Ph: (860) 928-6541	Gerald Bland Sullivan, MD 7 Kennedy Dr, Putnam, CT 06260-1939 Ph: (860) 928-6541

Reviews and Comments

Family Medicine Doctors in Putnam, CT

Timothy E Cooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Pomfret Street, Putnam, CT 06260 Phone: 860-928-2736 Fax: 860-928-6367
Mukti J Patel-prineas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0018
Charles L Wreschner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 235 Pomfret St, Putnam, CT 06260 Phone: 860-928-0493 Fax: 860-928-9255
Dr. Dominick F Roto Ii, DO FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Pomfret St, Putnam, CT 06260 Phone: 860-928-5248 Fax: 860-928-5286
Matthew David Amara, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0015
Dr. Olivia Shea Locker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Quinebaug Ave, Putnam, CT 06260 Phone: 860-481-2950 Fax: 860-955-2740

Gerald Bland Sullivan, MD - Medicare Family Medicine in Putnam, CT