Kenneth Sullivan, MD - Surgery in Berlin, WI

Kenneth Sullivan, MD is a Surgery physician based in Berlin, Wisconsin. Kenneth Sullivan is licensed to practice in Wisconsin (license number 40493-020) and his current practice location is 225 Memorial Dr, Berlin, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 361-5525.

NPI number for Kenneth Sullivan is 1902899917 and his current mailing address is 225 Memorial Dr, Berlin, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902899917.

Contact Information

Kenneth Sullivan, MD
225 Memorial Dr,
Berlin, WI 54923-1243
(920) 361-5525
Not Available

Map and Direction




Physician's Profile

Full NameKenneth Sullivan
GenderMale
SpecialitySurgery
Location225 Memorial Dr, Berlin, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902899917
  • Provider Enumeration Date: 08/24/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kenneth Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902899917NPI-NPPES
32483800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 40493-020 (Wisconsin)Primary
207Q00000XFamily Medicine 40493-020 (Wisconsin)Primary
208600000XSurgery 40493-020 (Wisconsin)Primary

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. Kenneth Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Sullivan, MD
225 Memorial Dr,
Berlin, WI 54923-1243

Ph: (920) 361-1313
Kenneth Sullivan, MD
225 Memorial Dr,
Berlin, WI 54923-1243

Ph: (920) 361-5525

Reviews and Comments


Surgery Doctors in Berlin, WI

Barry L Rogers, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 225 Memorial Dr, Ste 2000, Berlin, WI 54923
Phone: 920-361-5340    Fax: 920-361-5335
Dr. Horace Pei Lo, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 225 Memorial Dr Ste 2000, Berlin, WI 54923
Phone: 920-361-5340    
Darren G Nelson, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 225 Memorial Dr, Ste 2000, Berlin, WI 54923
Phone: 920-361-5340    Fax: 920-361-5335

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.