John M Sullivan, MD is a medicare enrolled "Surgery" physician in Ennis, Texas. He went to University Of Michigan Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as General Surgery. His current practice location is
802 W Lampasas St, Ennis, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 878-4700.
John M Sullivan is licensed to practice in Texas (license number K5708) 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 1336132117.
Physician's Profile
| Full Name | John M Sullivan |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 27 Years |
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| Location | 802 W Lampasas St, Ennis, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John M Sullivan attended and graduated from University Of Michigan Medical School in 1997
NPI Data:
- NPI Number: 1336132117
- Provider Enumeration Date: 08/26/2005
- Last Update Date: 01/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 4486662400
- Enrollment ID: I20060331000500
Medical Identifiers
Medical identifiers for John M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336132117 | NPI | - | NPPES |
| 138206115 | Medicaid | TX | |
| 8A7520 | Other | TX | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | K5708 (Texas) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | K5708 (Texas) | Secondary |
Medical Facilities Affiliation
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. John M Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | General And Vascular Surgery Of Ennis Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679564124
PECOS PAC ID: 9032127055
Enrollment ID: O20060331000488 |
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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. John 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 Address | Practice Location Address |
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John M Sullivan, MD
802 W Lampasas St,
Ennis, TX 75119-4500
Ph: (972) 878-4700 | John M Sullivan, MD
802 W Lampasas St,
Ennis, TX 75119-4500
Ph: (972) 878-4700 |
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