William J Sullivan, DO is a medicare enrolled "Internal Medicine" physician in Frontenac, Kansas. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1990 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Freeman-oak Hill Health System and his current practice location is
608 Willard, Frontenac, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 231-8849.
William J Sullivan is licensed to practice in Kansas (license number 05-25406) 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 1093805897.
Physician's Profile
| Full Name | William J Sullivan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 36 Years |
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| Location | 608 Willard, Frontenac, Kansas |
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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. |
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Medical Education and Training:
- William J Sullivan attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1990
NPI Data:
- NPI Number: 1093805897
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 08/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759282080
- Enrollment ID: I20040122000434
Medical Identifiers
Medical identifiers for William J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093805897 | NPI | - | NPPES |
| 200213791 | Other | KS | TRICARE |
| P00077657 | Other | KS | RR MEDICARE |
| 100234810D | Medicaid | KS | |
| 103449 | Other | KS | MEDICARE |
| 103449 | Other | KS | BCBS |
| 110994 | Other | KS | MEDICARE |
| 110994 | Other | KS | GROUP BCBS |
| 189381 | Other | KS | COVENTRY |
| DA9115 | Other | KS | GRP RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 05-25406 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Freeman-oak Hill Health System | 8325942253 | 341 |
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 J Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Via Christi Hospital Pittsburg, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760408975
PECOS PAC ID: 0547171670
Enrollment ID: O20031105000718 |
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| Entity Name | Freeman-oak Hill Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679517023
PECOS PAC ID: 8325942253
Enrollment ID: O20031215000534 |
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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. William J 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 |
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William J Sullivan, DO
Po Box 1023,
Frontenac, KS 66763-1023
Ph: (620) 231-8849 | William J Sullivan, DO
608 Willard,
Frontenac, KS 66763-2120
Ph: (620) 231-8849 |
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