Kathryn Sullivan, MD - Medicare Urology in Travis Afb, CA

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Kathryn Sullivan, MD is a medicare enrolled "Urology" physician in Travis Afb, California. She went to George Washington University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Urology. She is a member of the group practice Clinch Professional Physician Services Llc and her current practice location is 60 Mdg, 101 Bodin Circle, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-7401.

Kathryn Sullivan is licensed to practice in Virginia (license number 0101249048) 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 1487700167.

Contact Information

Kathryn Sullivan, MD
60 Mdg, 101 Bodin Circle,
Travis Afb, CA 94535-1800
(707) 423-7401
Not Available

Map and Direction




Physician's Profile

Full NameKathryn Sullivan
GenderFemale
SpecialityUrology
Experience20 Years
Location60 Mdg, Travis Afb, California
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:
  • Kathryn Sullivan attended and graduated from George Washington University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1487700167
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 11/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860631884
  • Enrollment ID: I20141021002782

Medical Identifiers

Medical identifiers for Kathryn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487700167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology V5135 (Texas)Secondary
208800000XUrology 0101249048 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clinch Valley Medical CenterRichlands, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinch Professional Physician Services Llc943625922339

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. Kathryn Sullivan allows following entities to bill medicare on her behalf.
Entity NameClinch Professional Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609994284
PECOS PAC ID: 9436259223
Enrollment ID: O20070709000505
Entity NameFauquier Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770916983
PECOS PAC ID: 6406083104
Enrollment ID: O20131227001299

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. Kathryn 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
Kathryn Sullivan, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (720) 220-4403		Kathryn Sullivan, MD
60 Mdg, 101 Bodin Circle,
Travis Afb, CA 94535-1800

Ph: (707) 423-7401

Reviews and Comments


Urology Doctors in Travis Afb, CA

Dr. Yurong Mai, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7402    
Dr. Joseph William Pugh, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, 60 Mdg/ Sgcxu, Travis Afb, CA 94535
Phone: 707-423-7401    
Dr. Alexander Lo, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7402    

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.