William Sullivan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Sierra Vista, Arizona. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice St Lukes Clinic Llc and his current practice location is
5100 E Highway 90, Suite B, Sierra Vista, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 417-9729.
William Sullivan is licensed to practice in Arizona (license number MD 22176) 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 1154483477.
Physician's Profile
| Full Name | William Sullivan |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 32 Years |
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| Location | 5100 E Highway 90, Sierra Vista, Arizona |
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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 Sullivan attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1992
NPI Data:
- NPI Number: 1154483477
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 06/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183605884
- Enrollment ID: I20040527001276
Medical Identifiers
Medical identifiers for William Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154483477 | NPI | - | NPPES |
| 192774 | Other | AZ | AHCCCS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD 22176 (Arizona) | 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. William Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Sullivan Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851531933
PECOS PAC ID: 0042377269
Enrollment ID: O20090316000131 |
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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 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 Sullivan, MD
5100 E Highway 90, Suite B,
Sierra Vista, AZ 85635-2443
Ph: (520) 417-9729 | William Sullivan, MD
5100 E Highway 90, Suite B,
Sierra Vista, AZ 85635-2443
Ph: (520) 417-9729 |
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