Jay Frederick Sullivan, MD in Pulaski, NY

Jay Frederick Sullivan, MD is a medicare enrolled "Family Medicine" physician in Pulaski, New York. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Pulaski Medical Urgent Care Pc and his current practice location is 4882b North Jefferson Street, Pulaski, New York. You can reach out to his office (for appointments etc.) via phone at (315) 298-2768.

Jay Frederick Sullivan is licensed to practice in New York (license number 169461) 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 1861426413.

Contact Information

	Jay Frederick Sullivan, MD
	4882b North Jefferson Street, Pulaski, NY 13142
	(315) 298-2768
	(315) 298-2846

Map and Direction

Physician's Profile

Full Name	Jay Frederick Sullivan
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	4882b North Jefferson Street, Pulaski, New York
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:

Jay Frederick Sullivan graduated from medical school in 1985

NPI Data:

NPI Number: 1861426413
Provider Enumeration Date: 07/10/2006
Last Update Date: 01/07/2021

Medicare PECOS Information:

PECOS PAC ID: 2860534534
Enrollment ID: I20100119000012

Medical Identifiers

Medical identifiers for Jay Frederick Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861426413	NPI	-	NPPES
000006298	Other		RMSCO
169461-1W	Other		WORKER'S COMPENSATION
5900753	Other		GHI
01538238	Medicaid	NY
CC6514	Other		MEDICARE
799222	Other		AETNA HMO
161577435	Other		POMCO
5939163	Other		AETNA NON HMO
000006298	Other		BCBS
080155488	Other		MEDICARE RAILROAD
138562	Other		CIGNA
00020708301	Other		UNIVERA
691259	Other		MVP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	169461 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oswego Hospital	Oswego, NY	Hospital
Samaritan Medical Center	Watertown, NY	Hospital

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. Jay Frederick Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Jay F Sullivan Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427189638 PECOS PAC ID: 6305988072 Enrollment ID: O20100119000017

Entity Name	Pulaski Medical Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568829356 PECOS PAC ID: 1951608579 Enrollment ID: O20160328000380

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. Jay Frederick 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
Jay Frederick Sullivan, MD 4882b North Jefferson Street, Pulaski, NY 13142 Ph: (315) 298-2768	Jay Frederick Sullivan, MD 4882b North Jefferson Street, Pulaski, NY 13142 Ph: (315) 298-2768

Reviews and Comments

Family Medicine Doctors in Pulaski, NY

Jay W Chapman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968
Grace Nasri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564
Patricia L Chapman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488
Amanda Ray, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Northern Oswego County Health Services, Inc., Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488
Charles C Kim, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488
Glenn F Thibault, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488
Dr. Patrick J Carguello, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488

Jay Frederick Sullivan, MD - Medicare Family Practice in Pulaski, NY