Dr Timothy John Sullivan Iii, MD in Ogden, UT

Dr Timothy John Sullivan Iii, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Ogden, Utah. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1966 and has 58 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Vicki J Lyons Md Pc and his current practice location is 4403 Harrison Blvd., Ste 4640, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-4850.

Dr Timothy John Sullivan Iii is licensed to practice in Utah (license number 8263858-1205) 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 1023012911.

Contact Information

	Dr Timothy John Sullivan Iii, MD
	4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304
	(801) 387-4850
	(801) 387-4855

Map and Direction

Physician's Profile

Full Name	Dr Timothy John Sullivan Iii
Gender	Male
Speciality	Allergy/immunology
Experience	58 Years
Location	4403 Harrison Blvd., Ogden, Utah
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 Timothy John Sullivan Iii attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1966

NPI Data:

NPI Number: 1023012911
Provider Enumeration Date: 06/08/2005
Last Update Date: 06/03/2015

Medicare PECOS Information:

PECOS PAC ID: 7214052802
Enrollment ID: I20130320000742

Medical Identifiers

Medical identifiers for Dr Timothy John Sullivan Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023012911	NPI	-	NPPES
00570996C	Medicaid	GA
00570996F	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207KA0200X	Allergy & Immunology - Allergy	037913 (Georgia)	Secondary
207KA0200X	Allergy & Immunology - Allergy	8263858-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckay Dee Hospital	Ogden, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vicki J Lyons Md Pc	4486558566	4

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 Timothy John Sullivan Iii allows following entities to bill medicare on his behalf.

Entity Name	Vicki J Lyons Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780716563 PECOS PAC ID: 4486558566 Enrollment ID: O20031120000760

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 Timothy John Sullivan Iii 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 Timothy John Sullivan Iii, MD 4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304 Ph: (801) 387-4850	Dr Timothy John Sullivan Iii, MD 4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304 Ph: (801) 387-4850

Reviews and Comments

Allergy & Immunology Doctors in Ogden, UT

Vicki J Lyons, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 4640, Ogden, UT 84403 Phone: 801-387-4850 Fax: 801-387-4855
Dr. Joseph Robert Anderson Jr., M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 5929 Fashion Point Dr, Suite 101, Ogden, UT 84403 Phone: 801-476-0052 Fax: 801-476-0064
Dr. Charles Mitchell Rogers, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 4640, Ogden, UT 84403 Phone: 801-387-4850

Dr Timothy John Sullivan Iii, MD - Medicare Allergy/immunology in Ogden, UT