Dr Kevin George Sullivan, MD in Farmville, VA

Dr Kevin George Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Farmville, Virginia. His current practice location is 800 Oak St, Emergency Dept, Farmville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 392-8811.

Dr Kevin George Sullivan is licensed to practice in Virginia (license number 1710277587) 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 1710277587.

Contact Information

	Dr Kevin George Sullivan, MD
	800 Oak St, Emergency Dept, Farmville, VA 23901-1199
	(434) 392-8811
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kevin George Sullivan
Gender	Male
Speciality	Emergency Medicine
Location	800 Oak St, Farmville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710277587
Provider Enumeration Date: 04/14/2011
Last Update Date: 10/20/2016

Medicare PECOS Information:

PECOS PAC ID: 8022233501
Enrollment ID: I20140815002281

Medical Identifiers

Medical identifiers for Dr Kevin George Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710277587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	1710277587 (Virginia)	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. Dr Kevin George Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Centra Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147

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 Kevin George 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 Kevin George Sullivan, MD 1192 Fox Horn Ct, Charlottesville, VA 22902-7297 Ph: (434) 249-8402	Dr Kevin George Sullivan, MD 800 Oak St, Emergency Dept, Farmville, VA 23901-1199 Ph: (434) 392-8811

Reviews and Comments

Emergency Medicine Doctors in Farmville, VA

Warren Mccarter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 Fax: 800-536-8431
Christopher Sendi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811
Pravinbhai G Patel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811
Dr. Quan Phan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 Fax: 434-315-2531

Dr Kevin George Sullivan, MD - Medicare Emergency Medicine in Farmville, VA