Mark Sullivan, PA - Medicare Physician Assistant in Clifton Park, NY

Mark Sullivan, PA is a medicare enrolled "Physician Assistant" in Clifton Park, New York. His current practice location is 1 Tallow Wood Dr, Clifton Park, New York. You can reach out to his office (for appointments etc.) via phone at (518) 373-4444.

Mark Sullivan is licensed to practice in New York (license number 004099) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821046921.

Contact Information

Mark Sullivan, PA
1 Tallow Wood Dr,
Clifton Park, NY 12065-2807
(518) 373-4444
(518) 373-0663

Map and Direction




Provider's Profile

Full NameMark Sullivan
GenderMale
SpecialityPhysician Assistant
Location1 Tallow Wood Dr, Clifton Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821046921
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 12/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7113999152
  • Enrollment ID: I20040810000692

Medical Identifiers

Medical identifiers for Mark Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821046921NPI-NPPES
02347280MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 004099 (New York)Primary

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. Mark 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 AddressPractice Location Address
Mark Sullivan, PA
4 Palisades Dr,
Albany, NY 12205-1449

Ph: (518) 591-1121
Mark Sullivan, PA
1 Tallow Wood Dr,
Clifton Park, NY 12065-2807

Ph: (518) 373-4444

Reviews and Comments


Physician Assistant Nurses in Clifton Park, NY

Edward Naumowicz,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1735 Route 9, Suite 105, Clifton Park, NY 12065
Phone: 518-383-2366    
Ryan Buckley, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1735 Route 9, Clifton Park, NY 12065
Phone: 518-371-5437    Fax: 518-383-6737
William Raymond Fielding, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Tallow Wood Dr, Clifton Park, NY 12065
Phone: 518-373-4500    
Meghan E Schiemann, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9 Old Plank Rd, Suite 100, Clifton Park, NY 12065
Phone: 518-371-0777    Fax: 518-371-0366
Nancy A Leverone, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 963 Route 146, Clifton Park, NY 12065
Phone: 518-383-8191    Fax: 518-383-9232
Ms. Cheryl M Glick, RPA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 942a Route 146, Clifton Park, NY 12065
Phone: 518-371-8000    Fax: 518-371-5338
Mr. Stephen C. Brendese, M.P.A-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 989 Route 146, Bldg 200, Clifton Park, NY 12065
Phone: 518-383-0891    Fax: 518-383-1662

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.