Kevin Henderson O'sullivan, MD in Texarkana, AR

Kevin Henderson O'sullivan, MD is a medicare enrolled "Family Medicine" physician in Texarkana, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Collom And Carney Clinic Association, Collom And Carney Clinic Association and his current practice location is 1307 Trinity Blvd, Texarkana, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 773-6467.

Kevin Henderson O'sullivan is licensed to practice in Arkansas (license number E-11617) 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 1922492859.

Contact Information

	Kevin Henderson O'sullivan, MD
	1307 Trinity Blvd, Texarkana, AR 71854-8310
	(870) 773-6467
	(870) 216-0061

Map and Direction

Physician's Profile

Full Name	Kevin Henderson O'sullivan
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	1307 Trinity Blvd, Texarkana, Arkansas
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:

Kevin Henderson O'sullivan attended and graduated from University Of Arkansas College Of Medicine in 2015

NPI Data:

NPI Number: 1922492859
Provider Enumeration Date: 03/28/2015
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 6507174737
Enrollment ID: I20180822000663

Medical Identifiers

Medical identifiers for Kevin Henderson O'sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922492859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-11617 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heritage Home Health	Texarkana, TX	Home health agency
Onesource Home Care Inc	Longview, TX	Home health agency
Dierksen Memorial Hospice	Texarkana, AR	Hospice
Christus St Michael Health System	Texarkana, TX	Hospital
Wadley Regional Medical Center	Texarkana, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Collom And Carney Clinic Association	1355249541	94
Collom And Carney Clinic Association	1355249541	94

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. Kevin Henderson O'sullivan allows following entities to bill medicare on his behalf.

Entity Name	Collom & Carney Clinic Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740262732 PECOS PAC ID: 1355249541 Enrollment ID: O20040721000534

Entity Name	Permian Premier Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20191011000337

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. Kevin Henderson O'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
Kevin Henderson O'sullivan, MD 1307 Trinity Blvd, Texarkana, AR 71854-8310 Ph: (870) 779-6093	Kevin Henderson O'sullivan, MD 1307 Trinity Blvd, Texarkana, AR 71854-8310 Ph: (870) 773-6467

Reviews and Comments

Family Medicine Doctors in Texarkana, AR

Dr. Kyle I Diaz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6093
Dr. Sangeeth Jonathan Samuel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2109 White Oak Ln, Texarkana, AR 71854 Phone: 501-664-6809
Dr. Matthew Wayne Nix, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6119
Shanna Leigh Spence, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6004 Fax: 870-779-6100
Kenneth George Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 U Of A Way, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6055
Daniel Morgan Tucker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6093
Alissa Waddell, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 East St, Texarkana, AR 71854 Phone: 870-216-1223

Kevin Henderson O'sullivan, MD - Medicare Family Practice in Texarkana, AR