Dr Randall G Sullivan, MD in Omaha, NE

Dr Randall G Sullivan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Omaha, Nebraska. He went to Nebraska College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice San Juan Regional Medical Center, Inc. and his current practice location is Emile @ 42nd St, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 552-6007.

Dr Randall G Sullivan is licensed to practice in Nebraska (license number 17415) 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 1114942653.

Contact Information

	Dr Randall G Sullivan, MD
	Emile @ 42nd St, Omaha, NE 68198-5575
	(402) 552-6007
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Randall G Sullivan
Gender	Male
Speciality	Psychiatry
Experience	41 Years
Location	Emile @ 42nd St, Omaha, Nebraska
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 Randall G Sullivan attended and graduated from Nebraska College Of Medicine in 1983

NPI Data:

NPI Number: 1114942653
Provider Enumeration Date: 07/13/2006
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4183626823
Enrollment ID: I20180514000805

Medical Identifiers

Medical identifiers for Dr Randall G Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114942653	NPI	-	NPPES
P00681749	Other		RAILROAD MEDICARE
47066229013	Medicaid	NE
10025598700	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	17415 (Nebraska)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD2018-0063 (New Mexico)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Juan Regional Medical Center	Farmington, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Juan Regional Medical Center, Inc.	4587559505	171

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 Randall G Sullivan allows following entities to bill medicare on his behalf.

Entity Name	San Juan Regional Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865

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 Randall G 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 Randall G Sullivan, MD 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 Ph: () -	Dr Randall G Sullivan, MD Emile @ 42nd St, Omaha, NE 68198-5575 Ph: (402) 552-6007

Reviews and Comments

Psychiatry & Neurology Doctors in Omaha, NE

Dr. David Berman Walker, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10625 Calhoun Rd, Omaha, NE 68112 Phone: 402-457-1300 Fax: 402-457-1403
Dr. Abhishek Singh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6901 N 72nd St, Omaha, NE 68122 Phone: 402-717-0070
Dr. Srinivas Dannaram, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Creighton Nebraska, Department Of Psychiatry 985582, Omaha, NE 68198 Phone: 402-552-6244
Albert Matthew Dickan, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7710 Mercy Rd Ste 202, Omaha, NE 68124 Phone: 402-280-4195
Nicole J Bergerson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9239 W Center Rd, Suite 225, Omaha, NE 68124 Phone: 402-505-9550 Fax: 402-614-3414
Ho Taik Sung, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7710 Mercy Road, Suite 202, Cu Department Of Psychiatry, Omaha, NE 68124 Phone: 402-280-4195
Michael L Meyer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9239 West Center Rd, Suite 205, Omaha, NE 68124 Phone: 402-354-8080 Fax: 402-354-8044

Dr Randall G Sullivan, MD - Medicare Psychiatry in Omaha, NE