Dr Brian Michael Sullivan, MD is a medicare enrolled "Family Medicine" physician in Baker, Montana. He went to University Of Pittsburgh School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fallon Medical Complex Inc and his current practice location is
202 S 4th St W, Baker, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 778-2833.
Dr Brian Michael Sullivan is licensed to practice in Montana (license number 49845) 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 1972761252.
Physician's Profile
| Full Name | Dr Brian Michael Sullivan |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 202 S 4th St W, Baker, Montana |
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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:
- Dr Brian Michael Sullivan attended and graduated from University Of Pittsburgh School Of Medicine in 2007
NPI Data:
- NPI Number: 1972761252
- Provider Enumeration Date: 05/23/2008
- Last Update Date: 01/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062538127
- Enrollment ID: I20160804002622
Medical Identifiers
Medical identifiers for Dr Brian Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972761252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 49845 (Montana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fallon Medical Complex Inc | 0941119499 | 9 |
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. Dr Brian Michael Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Fallon Medical Complex Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386700763
PECOS PAC ID: 0941119499
Enrollment ID: O20040614000391 |
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| Entity Name | Fallon Medical Complex Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1316965346
PECOS PAC ID: 0941119499
Enrollment ID: O20061104000600 |
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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. Dr Brian Michael 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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Dr Brian Michael Sullivan, MD
514 Americas Way, Apt 6347,
Box Elder, SD 57719-7600
Ph: (949) 444-6695 | Dr Brian Michael Sullivan, MD
202 S 4th St W,
Baker, MT 59313-9156
Ph: (406) 778-2833 |
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