Gary J Sullivan, DC is a medicare enrolled "Chiropractor" provider in Roxboro, North Carolina. He went to New York Chiropractic College and graduated in 1984 and has 40 years of diverse experience with area of expertise as Chiropractic. His current practice location is
30 Semora Rd, Roxboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 599-6771.
Gary J Sullivan is licensed to practice in North Carolina (license number 1757) 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 1083820740.
Healthcare Provider's Profile
Full Name | Gary J Sullivan |
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Gender | Male |
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Speciality | Chiropractic |
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Experience | 40 Years |
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Location | 30 Semora Rd, Roxboro, North Carolina |
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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. |
Medical Education and Training:
- Gary J Sullivan attended and graduated from New York Chiropractic College in 1984
NPI Data:
- NPI Number: 1083820740
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 08/29/2007
Medicare PECOS Information:
- PECOS PAC ID: 5496841843
- Enrollment ID: I20071016000132
Medical Identifiers
Medical identifiers for Gary J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083820740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 1757 (North Carolina) | 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. Gary J Sullivan allows following entities to bill medicare on his behalf.
Provider Name | Sullivan Chiropractic Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1104808385 PECOS PAC ID: 0345336798 Enrollment ID: O20071016000101 |
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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. Gary J 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 |
Gary J Sullivan, DC Po Box 1091, Roxboro, NC 27573-1091 Ph: (336) 599-6771 | Gary J Sullivan, DC 30 Semora Rd, Roxboro, NC 27573-6201 Ph: (336) 599-6771 |
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