Dr Michael Stanley Sullivan, MD in New Bern, NC

Dr Michael Stanley Sullivan, MD is a medicare enrolled "Pediatrics" physician in New Bern, North Carolina. His current practice location is 2636 Dr Martin Luther King Jr Blvd, New Bern, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 636-1919.

Dr Michael Stanley Sullivan is licensed to practice in North Carolina (license number 2022-01788) 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 1265495659.

Contact Information

	Dr Michael Stanley Sullivan, MD
	2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238
	(252) 636-1919
	(252) 636-2656

Map and Direction

Physician's Profile

Full Name	Dr Michael Stanley Sullivan
Gender	Male
Speciality	Pediatrics
Location	2636 Dr Martin Luther King Jr Blvd, New Bern, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265495659
Provider Enumeration Date: 04/08/2006
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 1951778968
Enrollment ID: I20221103003321

Medical Identifiers

Medical identifiers for Dr Michael Stanley Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265495659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2022-01788 (North Carolina)	Primary
208000000X	Pediatrics	MD09704 (Rhode Island)	Secondary

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 Michael Stanley Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Carolinaeast Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104066794 PECOS PAC ID: 0143378117 Enrollment ID: O20090430000303

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 Michael Stanley 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 Michael Stanley Sullivan, MD Po Box 68, Pollocksville, NC 28573-0068 Ph: (252) 636-1919	Dr Michael Stanley Sullivan, MD 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 Ph: (252) 636-1919

Reviews and Comments

Pediatrics Doctors in New Bern, NC

Leeann B Skladan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 703 Newman Rd, New Bern, NC 28562 Phone: 252-633-2900 Fax: 252-633-9609
Steven Mark Engel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 Neuse Blvd, New Bern, NC 28560 Phone: 252-637-3799 Fax: 252-633-0944
Marcus Craig Whaley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562 Phone: 252-636-1919 Fax: 252-636-2656
Kristi D Gordin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562 Phone: 252-636-1919 Fax: 252-636-2656
Dr. Rebecca C. H. Riley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562 Phone: 252-636-1919 Fax: 252-636-2656
David Thomas Tayloe Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 703 Newman Rd, Coastal Children's Clinic, New Bern, NC 28562 Phone: 252-633-2900

Dr Michael Stanley Sullivan, MD - Medicare Pediatrics in New Bern, NC