Kevin Brian Sullivan, DO - Medicare Emergency Medicine in San Diego, CA

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Kevin Brian Sullivan, DO is a medicare enrolled "Emergency Medicine" physician in San Diego, California. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Cep America - California, Emergency Services Medical Corporation Coronado, Team Physicians Of Southern California Medical Group Inc and his current practice location is 34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (970) 640-5914.

Kevin Brian Sullivan is licensed to practice in California (license number 20A18937) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194245662.

Contact Information

Kevin Brian Sullivan, DO
34800 Bob Wilson Dr,
San Diego, CA 92134-1098
(970) 640-5914
Not Available

Map and Direction




Physician's Profile

Full NameKevin Brian Sullivan
GenderMale
SpecialityEmergency Medicine
Experience9 Years
Location34800 Bob Wilson Dr, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Brian Sullivan graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1194245662
  • Provider Enumeration Date: 06/26/2017
  • Last Update Date: 08/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799188652
  • Enrollment ID: I20210729002133

Medical Identifiers

Medical identifiers for Kevin Brian Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194245662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20A18937 (California)Primary
171000000XMilitary Health Care Provider 1194245662 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pioneers Memorial Healthcare DistrictBrawley, CAHospital
Sharp Coronado Hospital And Hlthcr CtrCoronado, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America - California61037391311278
Emergency Services Medical Corporation Coronado377990443826
Team Physicians Of Southern California Medical Group Inc044654535421

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. Kevin Brian Sullivan allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameTeam Physicians of Southern California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225499015
PECOS PAC ID: 0446545354
Enrollment ID: O20160816003061
Entity NameEmergency Services Medical Corporation Coronado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598395675
PECOS PAC ID: 3779904438
Enrollment ID: O20200604001390

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. Kevin Brian 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
Kevin Brian Sullivan, DO
34800 Bob Wilson Dr,
San Diego, CA 92134-1098

Ph: Not Available		Kevin Brian Sullivan, DO
34800 Bob Wilson Dr,
San Diego, CA 92134-1098

Ph: (970) 640-5914

Reviews and Comments


Emergency Medicine Doctors in San Diego, CA

Sarah Wilkinson, MD
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Phone: 956-458-9885    
Dr. Ramandeep Singh Dhillon, M.D.
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Phillip Edward Fry Jr., DO
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Phone: 619-532-6400    
Dr. Timothy Stuart Hinman, M.D.
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Dr. Peter D. Aldrich, M.D.
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Dr. Matthew J. Perl, M.D.
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Phone: 858-605-7171    
Jeffrey Adam Bush, MD
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Practice Location: 4647 Zion Ave, San Diego, CA 92120
Phone: 619-528-5000    

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.