Dr Jeremy Ray Sullivan, PSYD - Medicare Psychologist in North Adams, MA

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Dr Jeremy Ray Sullivan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in North Adams, Massachusetts. His current practice location is 77 Hospital Ave Ste 214, North Adams, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 398-5064.

Dr Jeremy Ray Sullivan is licensed to practice in Vermont (license number 04800000878) 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 1043441306.

Contact Information

Dr Jeremy Ray Sullivan, PSYD
77 Hospital Ave Ste 214,
North Adams, MA 01247-2538
(413) 398-5064
(413) 398-5496

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeremy Ray Sullivan
GenderMale
SpecialityPsychologist - Clinical
Location77 Hospital Ave Ste 214, North Adams, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043441306
  • Provider Enumeration Date: 08/05/2009
  • Last Update Date: 05/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8820134141
  • Enrollment ID: I20090930000059

Medical Identifiers

Medical identifiers for Dr Jeremy Ray Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043441306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 04800000878 (Vermont)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. Dr Jeremy Ray Sullivan allows following entities to bill medicare on his behalf.
Entity NameMedoptions Of Vermont Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114479730
PECOS PAC ID: 0547541260
Enrollment ID: O20170111000999

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. Dr Jeremy Ray 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
Dr Jeremy Ray Sullivan, PSYD
59 Maple St,
North Adams, MA 01247-2828

Ph: (413) 347-6679		Dr Jeremy Ray Sullivan, PSYD
77 Hospital Ave Ste 214,
North Adams, MA 01247-2538

Ph: (413) 398-5064

Reviews and Comments


Psychologist in North Adams, MA

Gerardo Torres, MA
Psychologist
Medicare: Medicare Enrolled
Practice Location: 25 Marshall St, North Adams, MA 01247
Phone: 413-664-4541    
Mrs. Jennifer Jayne Howard,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 514 W Main St, North Adams, MA 01247
Phone: 413-652-2412    

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.