Ryan A Sullivan, MD - Medicare Internal Medicine in Manistee, MI

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Ryan A Sullivan, MD is a medicare enrolled "Internal Medicine" physician in Manistee, Michigan. He went to Wayne State University School Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Crystal Lake Clinic Pc and his current practice location is 2198 Us Highway 31 S, Manistee, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 723-3567.

Ryan A Sullivan is licensed to practice in Michigan (license number 430308010) 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 1174605653.

Contact Information

Ryan A Sullivan, MD
2198 Us Highway 31 S,
Manistee, MI 49660-9618
(231) 723-3567
Not Available

Map and Direction




Physician's Profile

Full NameRyan A Sullivan
GenderMale
SpecialityInternal Medicine
Experience23 Years
Location2198 Us Highway 31 S, Manistee, Michigan
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:
  • Ryan A Sullivan attended and graduated from Wayne State University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1174605653
  • Provider Enumeration Date: 10/20/2006
  • Last Update Date: 12/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0547292294
  • Enrollment ID: I20050906000090

Medical Identifiers

Medical identifiers for Ryan A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174605653NPI-NPPES
P00267590OtherMIRAILROAD MEDICARE
4764828MedicaidMI
1105115182OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 430308010 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Home CareTraverse city, MIHome health agency
Hospice Of Mecosta CountyBig rapids, MIHospice
Munson Healthcare Manistee HospitalManistee, MIHospital
Spectrum Health Ludington HospitalLudington, MIHospital
Munson Healthcare Cadillac HospitalCadillac, MIHospital
North Ottawa Community Health SystemGrand haven, MIHospital
Paul Oliver Memorial HospitalFrankfort, MIHospital
Manistee County Medical Care FacilityManistee, MINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crystal Lake Clinic Pc064825901011

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. Ryan A Sullivan allows following entities to bill medicare on his behalf.
Entity NameMunson Healthcare Manistee Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649457771
PECOS PAC ID: 3072414333
Enrollment ID: O20040119000647
Entity NamePaul Oliver Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427054360
PECOS PAC ID: 8628964848
Enrollment ID: O20040225000359
Entity NameCrystal Lake Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134491731
PECOS PAC ID: 0648259010
Enrollment ID: O20040802000634

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. Ryan A 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
Ryan A Sullivan, MD
6227 Frankfort Hwy,
Benzonia, MI 49616-8632

Ph: (231) 882-9661		Ryan A Sullivan, MD
2198 Us Highway 31 S,
Manistee, MI 49660-9618

Ph: (231) 723-3567

Reviews and Comments


Internal Medicine Doctors in Manistee, MI

Charles Jay Vandenberg Iv, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660
Phone: 231-398-1840    

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.