Cary Patrick Sullivan, DO is a medicare enrolled "Family Medicine" physician in Vian, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1980 and has 45 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Triton Health Pllc and his current practice location is
128 W Main, Vian, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 773-5228.
Cary Patrick Sullivan is licensed to practice in Oklahoma (license number 2148) 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 1497701130.
Physician's Profile
| Full Name | Cary Patrick Sullivan |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 45 Years |
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| Location | 128 W Main, Vian, Oklahoma |
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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. |
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Medical Education and Training:
- Cary Patrick Sullivan attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1980
NPI Data:
- NPI Number: 1497701130
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688686637
- Enrollment ID: I20060614000309
Medical Identifiers
Medical identifiers for Cary Patrick Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497701130 | NPI | - | NPPES |
| 731153208003 | Other | OK | BLUE CROSS BLUE SHIELD |
| 100254810E | Medicaid | OK | |
| 100254810G | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2148 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Triton Health Pllc | 1951623214 | 2 |
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. Cary Patrick Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Triton Health Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275945974
PECOS PAC ID: 1951623214
Enrollment ID: O20141124001108 |
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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. Cary Patrick 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 |
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Cary Patrick Sullivan, DO
Po Box 446,
Vian, OK 74962-0446
Ph: (918) 773-5228 | Cary Patrick Sullivan, DO
128 W Main,
Vian, OK 74962-0446
Ph: (918) 773-5228 |
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