Mitchell Sullivan, MD in Lyndonville, VT - Medicare Family Practice

Mitchell Sullivan, MD is a medicare enrolled "Family Medicine" physician in Lyndonville, Vermont. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeastern Vermont Regional Hospital Inc and his current practice location is 195 Industrial Pkwy, Lyndonville, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 748-9501.

Mitchell Sullivan is licensed to practice in Vermont (license number 042-0012982) 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 1841292562.

Contact Information

	Mitchell Sullivan, MD
	195 Industrial Pkwy, Lyndonville, VT 05851-4511
	(802) 748-9501
	(802) 748-3420

Map and Direction

Physician's Profile

Full Name	Mitchell Sullivan
Gender	Male
Speciality	Family Practice
Experience	32 Years
Location	195 Industrial Pkwy, Lyndonville, Vermont
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mitchell Sullivan graduated from medical school in 1992

NPI Data:

NPI Number: 1841292562
Provider Enumeration Date: 08/12/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8022024108
Enrollment ID: I20141121000566

Medical Identifiers

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

Identifier	Type	State	Issuer
1841292562	NPI	-	NPPES
160094	Other	NH	CIGNA HEALTHCARE
0106084YPNH01	Other	NH	ANTHEM BC/BS
5830418	Other		AETNA GROUP
9367	Other	NH	STATE LICENSE #
30008999	Medicaid	NH
930044719	Other		RAILROAD MEDICARE
3073723	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9367 (New Hampshire)	Secondary
207Q00000X	Family Medicine	042-0012982 (Vermont)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caledonia Home Health Care	Saint johnsbury, VT	Home health agency
Caledonia Home Health Care	Saint johnsbury, VT	Hospice
Northeastern Vermont Regional Hospital	Saint johnsbury, VT	Hospital
Androscoggin Valley Hospital	Berlin, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeastern Vermont Regional Hospital Inc	3678481405	102

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. Mitchell Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Northeastern Vermont Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659459428 PECOS PAC ID: 3678481405 Enrollment ID: O20080208000261

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. Mitchell 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
Mitchell Sullivan, MD Po Box 83, Lyndonville, VT 05851-0083 Ph: (802) 748-9501	Mitchell Sullivan, MD 195 Industrial Pkwy, Lyndonville, VT 05851-4511 Ph: (802) 748-9501

Mitchell Sullivan, MD - Medicare Family Practice in Lyndonville, VT