William David Sullivan, MD in Laurel, MS - Medicare Cardiovascular Disease (cardiology)

William David Sullivan, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Laurel, Mississippi. He went to Johns Hopkins University School Of Medicine and graduated in 1992 and has 34 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice South Central Clinics, Inc, South Central Regional Medical Center and his current practice location is 1203 Jefferson St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 649-2863.

William David Sullivan is licensed to practice in Mississippi (license number 15587) 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 1659385276.

Contact Information

	William David Sullivan, MD
	1203 Jefferson St, Laurel, MS 39440-4354
	(601) 649-2863
	(601) 649-9479

Map and Direction

Physician's Profile

Full Name	William David Sullivan
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	34 Years
Location	1203 Jefferson St, Laurel, 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:

William David Sullivan attended and graduated from Johns Hopkins University School Of Medicine in 1992

NPI Data:

NPI Number: 1659385276
Provider Enumeration Date: 07/28/2006
Last Update Date: 07/11/2013

Medicare PECOS Information:

PECOS PAC ID: 2860428299
Enrollment ID: I20091204000521

Medical Identifiers

Medical identifiers for William David Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659385276	NPI	-	NPPES
00119394	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	15587 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Central Reg Med Ctr	Laurel, MS	Hospital
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Central Clinics, Inc	4385876655	108
South Central Regional Medical Center	8325946411	10

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. William David Sullivan allows following entities to bill medicare on his behalf.

Entity Name	South Central Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700934676 PECOS PAC ID: 8325946411 Enrollment ID: O20031229000259

Entity Name	South Central Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834

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. William David 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
William David Sullivan, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863	William David Sullivan, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863

Reviews and Comments

Internal Medicine Doctors in Laurel, MS

Bassam K Mechleb, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525
John M. Wallace, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
Dr. Hamit Kumar, M.B.B.S Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-2863
Carolyn Cegielski, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
Willus Mark Horne, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
Joel Thomas Shores, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
Mr. Burgese Keki Turel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 117 South 11th Avenue, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431

William David Sullivan, MD - Medicare Cardiovascular Disease (cardiology) in Laurel, MS