Ryan Richard Sullivan, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Spring Hill, Tennessee. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
1229 Reserve Blvd, Suite 200, Spring Hill, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 302-5000.
Ryan Richard Sullivan is licensed to practice in Tennessee (license number 38819) 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 1417085606.
Physician's Profile
| Full Name | Ryan Richard Sullivan |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 20 Years |
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| Location | 1229 Reserve Blvd, Spring Hill, Tennessee |
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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. |
Medical Education and Training:
- Ryan Richard Sullivan graduated from medical school in 2005
NPI Data:
- NPI Number: 1417085606
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 11/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901986280
- Enrollment ID: I20250516001059
Medical Identifiers
Medical identifiers for Ryan Richard Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417085606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207KA0200X | Allergy & Immunology - Allergy | 38819 (Tennessee) | Primary |
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 Richard Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Mend Well Mobile Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285432492 PECOS PAC ID: 1850819533 Enrollment ID: O20250516000577 |
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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. Ryan Richard 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 |
Ryan Richard Sullivan, MD 100 Blythewood Dr Ste A, Columbia, TN 38401-4828 Ph: (615) 302-5000 | Ryan Richard Sullivan, MD 1229 Reserve Blvd, Suite 200, Spring Hill, TN 37174 Ph: (615) 302-5000 |
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