Kevin Sullivan, is a medicare enrolled "Hospitalist" physician in Demorest, Georgia. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Piedmont Hospitalist Physicians Llc and his current practice location is
541 Historic Highway 441, Demorest, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 839-4000.
Kevin Sullivan is licensed to practice in Georgia (license number 82648) 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 1346656170.
Physician's Profile
| Full Name | Kevin Sullivan |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 10 Years |
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| Location | 541 Historic Highway 441, Demorest, Georgia |
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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:
- Kevin Sullivan graduated from medical school in 2014
NPI Data:
- NPI Number: 1346656170
- Provider Enumeration Date: 07/01/2014
- Last Update Date: 08/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769751833
- Enrollment ID: I20190925000994
Medical Identifiers
Medical identifiers for Kevin Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346656170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4301106158 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 82648 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Piedmont Hospitalist Physicians Llc | 1951299163 | 330 |
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 Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Piedmont Hospitalist Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548219660
PECOS PAC ID: 1951299163
Enrollment ID: O20040309000820 |
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| Entity Name | Northeast Georgia Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277 |
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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. Kevin 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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Kevin Sullivan,
Po Box 742616,
Atlanta, GA 30374-2616
Ph: (770) 219-8420 | Kevin Sullivan,
541 Historic Highway 441,
Demorest, GA 30535
Ph: (706) 839-4000 |
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