Spencer K Sullivan, MD in Madison, MS - Medicare Hematology/oncology

Spencer K Sullivan, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Madison, Mississippi. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Mississippi Center For Advanced Medicine, Pc and his current practice location is 7730 Old Canton Rd Bldg B, Madison, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 499-0935.

Spencer K Sullivan is licensed to practice in Mississippi (license number 23304) 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 1073735114.

Contact Information

	Spencer K Sullivan, MD
	7730 Old Canton Rd Bldg B, Madison, MS 39110
	(601) 499-0935
	(601) 499-0936

Map and Direction

Physician's Profile

Full Name	Spencer K Sullivan
Gender	Male
Speciality	Hematology/oncology
Experience	19 Years
Location	7730 Old Canton Rd Bldg B, Madison, Mississippi
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:

Spencer K Sullivan attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2005

NPI Data:

NPI Number: 1073735114
Provider Enumeration Date: 05/02/2007
Last Update Date: 06/18/2019

Medicare PECOS Information:

PECOS PAC ID: 0749445195
Enrollment ID: I20140804000267

Medical Identifiers

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

Identifier	Type	State	Issuer
1073735114	NPI	-	NPPES
01212067	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	23304 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mississippi Center For Advanced Medicine, Pc	1951693282	9

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. Spencer K Sullivan allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

Entity Name	Mississippi Center For Advanced Medicine, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740636786 PECOS PAC ID: 1951693282 Enrollment ID: O20160707000847

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. Spencer K 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
Spencer K Sullivan, MD 7731 Old Canton Rd Ste B, Madison, MS 39110-6115 Ph: (601) 499-0935	Spencer K Sullivan, MD 7730 Old Canton Rd Bldg B, Madison, MS 39110 Ph: (601) 499-0935

Reviews and Comments

Pediatrics Doctors in Madison, MS

Amy Potter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936
Dr. Saima Hanif, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936
Dr. Steven P. Chevalier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7726 Old Canton Rd, Madison, MS 39110 Phone: 601-856-5105 Fax: 601-856-8637
Dr. Meghan Page Poole, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 286 Calhoun Station Pkwy, Madison, MS 39110 Phone: 601-200-4321 Fax: 601-859-0159
Sterling Wagner Simpson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936
Ashley W Mcglawn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr, Madison, MS 39110 Phone: 601-856-2598 Fax: 601-856-4459

Spencer K Sullivan, MD - Medicare Hematology/oncology in Madison, MS