Karen A Sullivan, MD - Medicare Family Practice in Virginia Beach, VA

Karen A Sullivan, MD is a medicare enrolled "Family Medicine" physician in Virginia Beach, Virginia. She went to Virginia Commonwealth University, School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Legacy Healthcare Services Inc, Sentara Medical Group and her current practice location is 5320 Providence Rd Ste 301, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 413-7600.

Karen A Sullivan is licensed to practice in Virginia (license number 0101057482) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033232293.

Contact Information

Karen A Sullivan, MD
5320 Providence Rd Ste 301,
Virginia Beach, VA 23464-4122
(757) 413-7600
(757) 413-7601

Map and Direction




Physician's Profile

Full NameKaren A Sullivan
GenderFemale
SpecialityFamily Practice
Experience29 Years
Location5320 Providence Rd Ste 301, Virginia Beach, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen A Sullivan attended and graduated from Virginia Commonwealth University, School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1033232293
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 03/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355418724
  • Enrollment ID: I20080926000350

Medical Identifiers

Medical identifiers for Karen A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033232293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101057482 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Leigh HospitalNorfolk, VAHospital
Sentara Virginia Beach General HospitalVirginia beach, VAHospital
Sentara Princess Anne HospitalVirginia beach, VAHospital
Sentara Norfolk General HospitalNorfolk, VAHospital
Sentara Obici HospitalSuffolk, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397222654
Sentara Medical Group89219039231058

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. Karen A Sullivan allows following entities to bill medicare on her behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466

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. Karen A 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 AddressPractice Location Address
Karen A Sullivan, MD
5320 Providence Rd Ste 301,
Virginia Beach, VA 23464-4122

Ph: (757) 413-7600
Karen A Sullivan, MD
5320 Providence Rd Ste 301,
Virginia Beach, VA 23464-4122

Ph: (757) 413-7600

Reviews and Comments


Family Medicine Doctors in Virginia Beach, VA

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Dr. William M Hurst, M.D.
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Dr. Julian Lee Greer, MD
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Dr. Michael George Charles, M.D.
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Phone: 757-395-1700    Fax: 757-507-9004
Dr. Robin N Anderson, MD
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Practice Location: 2017 Pleasure House Rd, Virginia Beach, VA 23455
Phone: 757-318-6900    Fax: 757-318-6901
Biswa Bhattacharyya, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2088 S Independence Blvd Ste 103, Virginia Beach, VA 23453
Phone: 757-275-9331    Fax: 757-416-7656

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.