Brent C Sullivan, MD in Tampa, FL

Brent C Sullivan, MD is a medicare enrolled "Urology" physician in Tampa, Florida. He went to Rutgers New Jersey Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Ohi West Medical Group Ii Llc, Florida Medical Clinic Llc and his current practice location is 14547 Bruce B Downs Blvd, Suite D, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 979-7733.

Brent C Sullivan is licensed to practice in Florida (license number ME69655) 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 1710098173.

Contact Information

	Brent C Sullivan, MD
	14547 Bruce B Downs Blvd, Suite D, Tampa, FL 33613
	(813) 979-7733
	(813) 355-5098

Map and Direction

Physician's Profile

Full Name	Brent C Sullivan
Gender	Male
Speciality	Urology
Experience	35 Years
Location	14547 Bruce B Downs Blvd, Tampa, Florida
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:

Brent C Sullivan attended and graduated from Rutgers New Jersey Medical School in 1989

NPI Data:

NPI Number: 1710098173
Provider Enumeration Date: 08/31/2006
Last Update Date: 08/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3577451061
Enrollment ID: I20040308000053

Medical Identifiers

Medical identifiers for Brent C Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710098173	NPI	-	NPPES
269015200	Medicaid	FL
P00085921	Other	FL	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	ME69655 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Tampa	Tampa, FL	Hospital
Adventhealth Wesley Chapel	Wesley chapel, FL	Hospital
Florida Hospital Zephyrhills	Zephyrhills, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohi West Medical Group Ii Llc	0648631192	310
Florida Medical Clinic Llc	9931003068	364

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. Brent C Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Florida Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962

Entity Name	Ohi West Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130

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. Brent C 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
Brent C Sullivan, MD 38135 Market Square, Zephyrhills, FL 33542 Ph: (813) 528-4975	Brent C Sullivan, MD 14547 Bruce B Downs Blvd, Suite D, Tampa, FL 33613 Ph: (813) 979-7733

Reviews and Comments

Urology Doctors in Tampa, FL

Alberto Juan Duboy, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612 Phone: 813-259-8581 Fax: 813-259-8507
Mohit Sirohi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Davis Blvd., #604, Tampa, FL 33606 Phone: 813-258-9565 Fax: 813-258-3535
Alice Yu, Urology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2226
Dr. Hannah Han Guan, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-821-8038
Dr. Mohendra Gopal Biswas, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6101 Webb Rd, Suite 203, Tampa, FL 33615 Phone: 813-884-4794 Fax: 813-882-0650
Dr. Jeffrey Bernard Starling, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5332 Primrose Lake Cir, Tampa, FL 33647 Phone: 813-558-9091 Fax: 813-866-3948
Dr. Fernando E. Coste-delvecchio, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Stc 7th Floor, Tampa, FL 33606 Phone: 813-974-4115

Brent C Sullivan, MD - Medicare Urology in Tampa, FL