Shane Sullivan, - Medicare Physical Medicine & Rehabilitation in Durham, NC

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Shane Sullivan, is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Durham, North Carolina. His current practice location is 4221 Garrett Rd, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 937-9607.

Shane Sullivan is licensed to practice in North Carolina (license number P21873) 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 1184339699.

Contact Information

Shane Sullivan,
4221 Garrett Rd,
Durham, NC 27707-3467
(919) 937-9607
Not Available

Map and Direction




Physician's Profile

Full NameShane Sullivan
GenderMale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location4221 Garrett Rd, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184339699
  • Provider Enumeration Date: 01/18/2023
  • Last Update Date: 01/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294186706
  • Enrollment ID: I20240109004045

Medical Identifiers

Medical identifiers for Shane Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184339699NPI-NPPES
NAOtherNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine P21873 (North Carolina)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. Shane Sullivan allows following entities to bill medicare on his behalf.
Entity NameAgilitas Usa Inc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20130807000042

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. Shane 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
Shane Sullivan,
1611 Chesborough Rd,
Winston Salem, NC 27127-7317

Ph: (336) 409-6320		Shane Sullivan,
4221 Garrett Rd,
Durham, NC 27707-3467

Ph: (919) 937-9607

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Durham, NC

Elena Hart, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 3643 N Roxboro St, Durham, NC 27704
Phone: 919-470-4000    
Dr. Carolyn Keeler, D.O.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: Dumc 3807, Durham, NC 27710
Phone: 919-684-7821    
Raphael S. Orenstein, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 120 William Penn Plz, Durham, NC 27704
Phone: 919-220-5255    Fax: 919-220-6971
Mazen Zein, D.O
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: Duke Medicine Circle Spine Center Clinic 1b/1c, Durham, NC 27710
Phone: 919-660-3006    
Dr. Paul Edwind Howell Jr., M.D.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 508 Fulton St # 117, Durham, NC 27705
Phone: 919-286-0411    Fax: 919-416-5913
Eugenia Fay Zimmerman, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 120 William Penn Plz, Durham, NC 27704
Phone: 919-220-5255    Fax: 919-220-6971

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.