Dr Toby M Sullivan, MD - Medicare Emergency Medicine in Winston-salem, NC

Dr Toby M Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Winston-salem, North Carolina. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Kernersville Emergency Group, Pllc and his current practice location is 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 765-3928.

Dr Toby M Sullivan is licensed to practice in North Carolina (license number ) 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 1134104086.

Contact Information

Dr Toby M Sullivan, MD
3333 Silas Creek Pkwy, Emergency Department,
Winston-salem, NC 27103-3013
(336) 765-3928
Not Available

Map and Direction




Physician's Profile

Full NameDr Toby M Sullivan
GenderMale
SpecialityEmergency Medicine
Experience22 Years
Location3333 Silas Creek Pkwy, Winston-salem, North Carolina
Accepts Medicare AssignmentsYes. 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 Toby M Sullivan attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1134104086
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6103899372
  • Enrollment ID: I20050721000473

Medical Identifiers

Medical identifiers for Dr Toby M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134104086NPI-NPPES
5900996MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kernersville Emergency Group, Pllc337588542929

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 Toby M Sullivan allows following entities to bill medicare on his behalf.
Entity NameYadkin Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417443771
PECOS PAC ID: 3173875127
Enrollment ID: O20181003000297
Entity NamePiedmont Triad Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295206464
PECOS PAC ID: 6406197334
Enrollment ID: O20190403000344
Entity NameKernersville Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750852034
PECOS PAC ID: 3375885429
Enrollment ID: O20190422001205
Entity NameTanglewood Park Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093286379
PECOS PAC ID: 3476895129
Enrollment ID: O20190429001041

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 Toby M 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 AddressPractice Location Address
Dr Toby M Sullivan, MD
Po Box 75332, Attn Lisa Brower,
Charlotte, NC 28275-0332

Ph: () -
Dr Toby M Sullivan, MD
3333 Silas Creek Pkwy, Emergency Department,
Winston-salem, NC 27103-3013

Ph: (336) 765-3928

Reviews and Comments


Emergency Medicine Doctors in Winston-salem, NC

Dr. Christopher Davis, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Blvd, Winston-salem, NC 27103
Phone: 336-716-2011    
Dr. Peter S. Vrooman Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103
Phone: 336-765-9328    
Dr. Mary A Wittler, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Medical Center Blvd, Winston-salem, NC 27157
Phone: 336-716-2255    Fax: 336-716-5438
Dr. Scott Kribbs, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103
Phone: 336-765-9328    
Dr. Gregory P. Tarleton, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103
Phone: 336-765-9358    
Dr. Daniel G. Sayers, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston-salem, NC 27103
Phone: 336-765-9328    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.