Kathryn F 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 21 years of diverse experience with area of expertise as Urology. She is a member of the group practice Titus County Hospital District 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 F 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.
Physician's Profile
| Full Name | Kathryn F Sullivan |
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| Gender | Female |
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| Speciality | Urology |
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| Experience | 21 Years |
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| Location | 60 Mdg, Travis Afb, California |
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| Accepts Medicare Assignments | Yes. 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 F 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: 09/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 2860631884
- Enrollment ID: I20250827001487
Medical Identifiers
Medical identifiers for Kathryn F Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487700167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | V5135 (Texas) | Secondary |
| 208800000X | Urology | 0101249048 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Titus County Hospital District | 0143203257 | 107 |
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 F Sullivan allows following entities to bill medicare on her behalf.
| Entity Name | Titus County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
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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 F 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 |
Kathryn F Sullivan, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (720) 220-4403 | Kathryn F Sullivan, MD 60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1800 Ph: (707) 423-7401 |
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