Michael Patrick Sullivan, MD - Medicare Psychiatry & Neurology in So Lake Tahoe, CA

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Michael Patrick Sullivan, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in So Lake Tahoe, California. His current practice location is 2101 South Ave, So Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 542-5744.

Michael Patrick Sullivan is licensed to practice in California (license number G40941) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336105626.

Contact Information

Michael Patrick Sullivan, MD
2101 South Ave,
So Lake Tahoe, CA 96150
(530) 542-5744
(530) 542-5747

Map and Direction




Physician's Profile

Full NameMichael Patrick Sullivan
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location2101 South Ave, So Lake Tahoe, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336105626
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 09/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5597889246
  • Enrollment ID: I20100901000550

Medical Identifiers

Medical identifiers for Michael Patrick Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336105626NPI-NPPES
00G409410MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology G40941 (California)Primary
2084N0400XPsychiatry & Neurology - Neurology 6833 (Nevada)Secondary

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. Michael Patrick Sullivan allows following entities to bill medicare on his behalf.
Entity NameTahoe Carson Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508865528
PECOS PAC ID: 8426048158
Enrollment ID: O20040514000834
Entity NameBarton Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235196015
PECOS PAC ID: 1850293960
Enrollment ID: O20040915000806

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. Michael Patrick 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
Michael Patrick Sullivan, MD
2101 South Ave,
So Lake Tahoe, CA 96150

Ph: (530) 542-5744		Michael Patrick Sullivan, MD
2101 South Ave,
So Lake Tahoe, CA 96150

Ph: (530) 542-5744

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Psychiatry & Neurology Doctors in So Lake Tahoe, CA


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.