Keisha Danielle Sullivan, DO in Leesburg, VA

Keisha Danielle Sullivan, DO is a medicare enrolled "Family Medicine - Sleep Medicine" physician in Leesburg, Virginia. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Sleep Medicine. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and her current practice location is 19441 Golf Vista Plaza, Suites 230 & 310, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 729-3420.

Keisha Danielle Sullivan is licensed to practice in Virginia (license number 0102205648) 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 1437545720.

Contact Information

	Keisha Danielle Sullivan, DO
	19441 Golf Vista Plaza, Suites 230 & 310, Leesburg, VA 20176-8272
	(703) 729-3420
	(703) 729-3420

Map and Direction

Physician's Profile

Full Name	Keisha Danielle Sullivan
Gender	Female
Speciality	Sleep Medicine
Experience	9 Years
Location	19441 Golf Vista Plaza, Suites 230 & 310, Leesburg, Virginia
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:

Keisha Danielle Sullivan attended and graduated from Philadelphia College Of Osteopathic Medicine in 2015

NPI Data:

NPI Number: 1437545720
Provider Enumeration Date: 04/13/2015
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4082908140
Enrollment ID: I20190815001901

Medical Identifiers

Medical identifiers for Keisha Danielle Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437545720	NPI	-	NPPES
1437545720	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS1201X	Family Medicine - Sleep Medicine	58.007478 (Ohio)	Secondary
207QS1201X	Family Medicine - Sleep Medicine	H0087581 (Maryland)	Secondary
207QS1201X	Family Medicine - Sleep Medicine	0102205648 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc	3779495858	1673

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. Keisha Danielle Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Keisha Danielle 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
Keisha Danielle Sullivan, DO 224-d Cornwall St., Nw Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010	Keisha Danielle Sullivan, DO 19441 Golf Vista Plaza, Suites 230 & 310, Leesburg, VA 20176-8272 Ph: (703) 729-3420

Reviews and Comments

Family Medicine Doctors in Leesburg, VA

David Wayne Stewart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 Old Waterford Rd Nw, Leesburg, VA 20176 Phone: 703-779-9300 Fax: 703-779-9733
Benjamin Harrison Mcilwaine, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Inova Loudoun Hospital, Leesburg, VA 20176 Phone: 703-858-6044 Fax: 705-858-6775
Khurram N. Ali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396
Karen Elizabeth Alexander, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396
Dr. Tony Chieuvan Nguyen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396
Dr. Charles H. Cho, D.O.. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 Fax: 703-840-1397
Dr. Michael Lev Gitomirski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396

Keisha Danielle Sullivan, DO - Medicare Sleep Medicine in Leesburg, VA