Dr Dennis J Sullivan, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Bridgton, Maine. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is
55 Main St., Suite 2, Bridgton, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 647-3633.
Dr Dennis J Sullivan is licensed to practice in Maine (license number 011964) 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 1497770853.
Physician's Profile
| Full Name | Dr Dennis J Sullivan |
|---|
| Gender | Male |
|---|
| Speciality | Orthopedic Surgery |
|---|
| Experience | 46 Years |
|---|
| Location | 55 Main St., Bridgton, Maine |
|---|
| 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:
- Dr Dennis J Sullivan graduated from medical school in 1978
NPI Data:
- NPI Number: 1497770853
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 03/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002893526
- Enrollment ID: I20040702000162
Medical Identifiers
Medical identifiers for Dr Dennis J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497770853 | NPI | - | NPPES |
| 105900000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 011964 (Maine) | Primary |
Medical Facilities Affiliation
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 Dennis J Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Dennis J Sullivan, M.d., P.a. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780846675
PECOS PAC ID: 7618044355
Enrollment ID: O20080923000352 |
|---|
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 Dennis 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 |
|---|
Dr Dennis J Sullivan, MD
Po Box 658,
Bridgton, ME 04009
Ph: (207) 647-3633 | Dr Dennis J Sullivan, MD
55 Main St., Suite 2,
Bridgton, ME 04009
Ph: (207) 647-3633 |
Reviews and Comments