Timothy M Sullivan, MD in Charlotte, NC - Medicare Emergency Medicine

Timothy M Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. He went to University Of Cincinnati College Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Wake Forest Emergency Providers, Patheous Medical Pllc and his current practice location is 1900 Randolph Rd, Ste 900, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 377-2424.

Timothy M Sullivan is licensed to practice in North Carolina (license number 9900691) 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 1760408967.

Contact Information

	Timothy M Sullivan, MD
	1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122
	(704) 377-2424
	(704) 377-2687

Map and Direction

Physician's Profile

Full Name	Timothy M Sullivan
Gender	Male
Speciality	Emergency Medicine
Experience	29 Years
Location	1900 Randolph Rd, Charlotte, North Carolina
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:

Timothy M Sullivan attended and graduated from University Of Cincinnati College Of Medicine in 1996

NPI Data:

NPI Number: 1760408967
Provider Enumeration Date: 07/14/2006
Last Update Date: 01/11/2010

Medicare PECOS Information:

PECOS PAC ID: 1153461413
Enrollment ID: I20091216000627

Medical Identifiers

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

Identifier	Type	State	Issuer
1760408967	NPI	-	NPPES
891225H	Medicaid	NC
N00692	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	9900691 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Catawba Valley Medical Center	Hickory, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest Emergency Providers	7012819816	310
Patheous Medical Pllc	8921458720	19

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. Timothy M Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Wake Forest Emergency Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619

Entity Name	Patheous Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366121527 PECOS PAC ID: 8921458720 Enrollment ID: O20240118004655

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. Timothy M 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
Timothy M Sullivan, MD 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122 Ph: (704) 377-2424	Timothy M Sullivan, MD 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122 Ph: (704) 377-2424

Reviews and Comments

Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
Nicole Hadley, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 136 E 36t St Suite 200, Charlotte, NC 28206 Phone: 704-801-3400
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047
Dr. Hannah Elizabeth Corral, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687
Kevin Hale Black, DDS, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171

Timothy M Sullivan, MD - Medicare Emergency Medicine in Charlotte, NC