Michael Sullivan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Mount Vernon, Ohio. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Knox Community Hospital and his current practice location is
1330 Coshocton Ave, Mount Vernon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 393-9000.
Michael Sullivan is licensed to practice in Ohio (license number 35-071450) 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 1548269038.
Physician's Profile
| Full Name | Michael Sullivan |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 35 Years |
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| Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Sullivan attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1990
NPI Data:
- NPI Number: 1548269038
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 03/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082708359
- Enrollment ID: I20070917000670
Medical Identifiers
Medical identifiers for Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548269038 | NPI | - | NPPES |
| 0368516 | Medicaid | OH | |
| 1342112 | Other | OH | FIRST HEALTH |
| 00000019555 | Other | OH | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35-071450 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Knox Community Hospital | 1153301833 | 106 |
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 Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Knox Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154483022
PECOS PAC ID: 1153301833
Enrollment ID: O20040722001173 |
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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. Michael 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 |
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Michael Sullivan, MD
1330 Coshocton Ave,
Mount Vernon, OH 43050-1440
Ph: (740) 393-9000 | Michael Sullivan, MD
1330 Coshocton Ave,
Mount Vernon, OH 43050-1440
Ph: (740) 393-9000 |
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