Shawn Christopher Sullivan, PT in Middletown, CT - Medicare Physical Therapist Provider

Shawn Christopher Sullivan, PT is a medicare enrolled "Physical Therapist" provider in Middletown, Connecticut. His current practice location is 512 Saybrook Rd, Middletown, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 343-5997.

Shawn Christopher Sullivan is licensed to practice in Connecticut (license number 006342) 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 1427137249.

Contact Information

	Shawn Christopher Sullivan, PT
	512 Saybrook Rd, Middletown, CT 06457-4788
	(860) 343-5997
	(860) 343-6042

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn Christopher Sullivan
Gender	Male
Speciality	Physical Therapist
Location	512 Saybrook Rd, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427137249
Provider Enumeration Date: 11/03/2006
Last Update Date: 11/02/2009

Medicare PECOS Information:

PECOS PAC ID: 8527133487
Enrollment ID: I20080813000923

Medical Identifiers

Medical identifiers for Shawn Christopher Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427137249	NPI	-	NPPES
7691516	Other	CT	AETNA
080006342CT01	Other	CT	ANTHEM BCBS
3V1439	Other	CT	PHS HEALTHNET
761899	Other	CT	CONNECTICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT003689 (Kentucky)	Secondary
225100000X	Physical Therapist	PT10441 (Ohio)	Secondary
225100000X	Physical Therapist	006342 (Connecticut)	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. Shawn Christopher Sullivan allows following entities to bill medicare on his behalf.

Provider Name	Prohealth Physicians Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

Provider Name	Sportsmed Pt Of Connecticut Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609441534 PECOS PAC ID: 5395134852 Enrollment ID: O20211123000473

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. Shawn Christopher 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
Shawn Christopher Sullivan, PT 512 Saybrook Rd, Middletown, CT 06457-4788 Ph: (860) 343-5997	Shawn Christopher Sullivan, PT 512 Saybrook Rd, Middletown, CT 06457-4788 Ph: (860) 343-5997

Reviews and Comments

Physical Therapist in Middletown, CT

Mrs. Maria I Moreno, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 Saybrook Rd Ste 100, Middletown, CT 06457 Phone: 860-638-3820 Fax: 860-638-3840
Mr. Garrett Wayne Wadsworth, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 South Main Street, Middletown, CT 06457 Phone: 860-398-4030 Fax: 860-894-1894
Mrs. Deanna M Dichello, P.T., MMSC Physical Therapist Medicare: Medicare Enrolled Practice Location: 211 S Main St, Middletown, CT 06457 Phone: 203-869-1145 Fax: 203-618-1721
Dr. Nicholas A Bessette, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 140 Main St Ste 4b, Middletown, CT 06457 Phone: 860-343-9572
Daniel Vala, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 134 Main Street Ext Ste 100, Middletown, CT 06457 Phone: 860-740-3087
Jonathan Gil, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 S Main St, Middletown, CT 06457 Phone: 860-347-7636 Fax: 860-894-1894
Claire Dalton, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Long Hill Rd, Middletown, CT 06457 Phone: 866-552-9292

Shawn Christopher Sullivan, PT - Medicare Physical Therapist in Middletown, CT