Timothy Shawn Sullivan, PHD in Akron, OH - Medicare Psychologist Provider

Timothy Shawn Sullivan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Akron, Ohio. His current practice location is 701 White Pond Dr, Suite 300, Akron, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 572-1011.

Timothy Shawn Sullivan is licensed to practice in Ohio (license number 5645) 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 1336203397.

Contact Information

	Timothy Shawn Sullivan, PHD
	701 White Pond Dr, Suite 300, Akron, OH 44320
	(330) 572-1011
	(330) 572-1018

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Shawn Sullivan
Gender	Male
Speciality	Psychologist - Clinical
Location	701 White Pond Dr, Akron, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336203397
Provider Enumeration Date: 12/21/2006
Last Update Date: 08/14/2013

Medicare PECOS Information:

PECOS PAC ID: 3375532245
Enrollment ID: I20040507000374

Medical Identifiers

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

Identifier	Type	State	Issuer
1336203397	NPI	-	NPPES
2253350	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	5645 (Ohio)	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. Timothy Shawn Sullivan allows following entities to bill medicare on his behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

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. Timothy Shawn 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
Timothy Shawn Sullivan, PHD 701 White Pond Dr, Suite 300, Akron, OH 44320 Ph: (330) 572-1011	Timothy Shawn Sullivan, PHD 701 White Pond Dr, Suite 300, Akron, OH 44320 Ph: (330) 572-1011

Reviews and Comments

Psychologist in Akron, OH

Mr. Terry Bendo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1372 Delia Ave, Akron, OH 44320 Phone: 330-761-3067
Jessica Feinstein, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Bowery St, Akron, OH 44308 Phone: 330-543-1000
Dr. Alan Dale Gilbertson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-6525 Fax: 330-996-2943
Alanna G Updegraff, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-8050 Fax: 330-543-8054
Elizabeth R. Holmes, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2108 Braewick Cir, Ste 202, Akron, OH 44313 Phone: 330-920-9292 Fax: 330-920-9393
James Anthony Orlando, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 37 N Broadway St, Akron, OH 44308 Phone: 330-535-8181 Fax: 330-535-9303
Dr. Kevin Triemstra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-4270 Fax: 330-543-4271

Timothy Shawn Sullivan, PHD - Medicare Psychologist in Akron, OH