Travis Wayne Sullivan, DC in Prosper, TX - Medicare Chiropractor Provider

Travis Wayne Sullivan, DC is a medicare enrolled "Chiropractor" provider in Prosper, Texas. His current practice location is 101 E Broadway St, Prosper, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 347-9933.

Travis Wayne Sullivan is licensed to practice in Texas (license number 14409) 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 1912138348.

Contact Information

	Travis Wayne Sullivan, DC
	101 E Broadway St, Prosper, TX 75078-2934
	(972) 347-9933
	(682) 292-2997

Map and Direction

Healthcare Provider's Profile

Full Name	Travis Wayne Sullivan
Gender	Male
Speciality	Chiropractor
Location	101 E Broadway St, Prosper, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912138348
Provider Enumeration Date: 08/03/2009
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3971860628
Enrollment ID: I20230303001751

Medical Identifiers

Medical identifiers for Travis Wayne Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912138348	NPI	-	NPPES
14409	Other	TX	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	01-05275 (Kansas)	Secondary
111N00000X	Chiropractor	14409 (Texas)	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. Travis Wayne Sullivan allows following entities to bill medicare on his behalf.

Provider Name	Perriton Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215302500 PECOS PAC ID: 6305251000 Enrollment ID: O20210210001244

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. Travis Wayne 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
Travis Wayne Sullivan, DC 101 E Broadway St, Prosper, TX 75078-2934 Ph: (972) 347-9933	Travis Wayne Sullivan, DC 101 E Broadway St, Prosper, TX 75078-2934 Ph: (972) 347-9933

Reviews and Comments

Chiropractor in Prosper, TX

Dr. Jeremy Don Evans, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1061 N Coleman St Ste 10, Prosper, TX 75078 Phone: 469-296-1049
Dr. Jacob Glenn Schumann, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1061 N Coleman St Ste 130, Prosper, TX 75078 Phone: 972-818-5820
Prosper Chiropractic And Wellness Center Chiropractor Medicare: Medicare Enrolled Practice Location: 101 E Broadway St, Prosper, TX 75078 Phone: 972-347-4138 Fax: 972-347-3866
John H Perriton, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 101 E Broadway St, Prosper, TX 75078 Phone: 972-347-4138 Fax: 972-347-3866
Jade Malay, FNP, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 290 S Preston Rd Ste 240, Prosper, TX 75078 Phone: 972-378-0383 Fax: 972-403-3434
Dr. Cael Halfman, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1061 N Coleman St Ste 10, Prosper, TX 75078 Phone: 469-296-1049 Fax: 844-209-9082
Dr. Jesse Nix, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1170 N Preston Rd Ste 210, Prosper, TX 75078 Phone: 469-715-7537

Travis Wayne Sullivan, DC - Medicare Chiropractor in Prosper, TX