Kevin Henderson O'sullivan, MD - Medicare Family Practice 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 NameKevin Henderson O'sullivan
GenderMale
SpecialityFamily Practice
Experience9 Years
Location1307 Trinity Blvd, Texarkana, Arkansas
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:
  • 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.
IdentifierTypeStateIssuer
1922492859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E-11617 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heritage Home HealthTexarkana, TXHome health agency
Onesource Home Care IncLongview, TXHome health agency
Dierksen Memorial HospiceTexarkana, ARHospice
Christus St Michael Health SystemTexarkana, TXHospital
Wadley Regional Medical CenterTexarkana, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Collom And Carney Clinic Association135524954194
Collom And Carney Clinic Association135524954194

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 NameCollom & Carney Clinic Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740262732
PECOS PAC ID: 1355249541
Enrollment ID: O20040721000534
Entity NamePermian Premier Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

Autumn Misha Brown, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3417 U Of A Way, Texarkana, AR 71854
Phone: 870-779-6000    Fax: 870-779-6050
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

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.