Patrick G Sullivan, MD in La Mesa, CA - Medicare Anesthesiology

Patrick G Sullivan, MD is a medicare enrolled "Anesthesiology" physician in La Mesa, California. His current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 460-5111.

Patrick G Sullivan is licensed to practice in California (license number G74231) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750449955.

Contact Information

	Patrick G Sullivan, MD
	5555 Grossmont Center Dr, La Mesa, CA 91942
	(619) 460-5111
	(619) 460-7815

Map and Direction

Physician's Profile

Full Name	Patrick G Sullivan
Gender	Male
Speciality	Anesthesiology
Location	5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750449955
Provider Enumeration Date: 12/04/2006
Last Update Date: 04/07/2015

Medicare PECOS Information:

PECOS PAC ID: 8224923420
Enrollment ID: I20111230000393

Medical Identifiers

Medical identifiers for Patrick G Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750449955	NPI	-	NPPES
00G742310	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G74231 (California)	Primary

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. Patrick G Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Orange Coast Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508138256 PECOS PAC ID: 2466613591 Enrollment ID: O20120417000047

Entity Name	Premiercare Anesthesia Fountain Valley Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831536531 PECOS PAC ID: 5698903003 Enrollment ID: O20140110000426

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. Patrick G 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
Patrick G Sullivan, MD Po Box 3617, La Mesa, CA 91944-3617 Ph: (619) 460-5111	Patrick G Sullivan, MD 5555 Grossmont Center Dr, La Mesa, CA 91942 Ph: (619) 460-5111

Reviews and Comments

Anesthesiology Doctors in La Mesa, CA

John Claus, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-460-5111 Fax: 619-460-7815
Dr. Thach D. Mai, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-460-5111 Fax: 619-460-7815
Aida Tesfaye-kedjela, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8141 Vista Dr, La Mesa, CA 91941 Phone: 267-235-8252
Dr. Michael Henry Verdolin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7051 Alvarado Rd, Suite 101, La Mesa, CA 91942 Phone: 619-625-1144 Fax: 619-872-0964
Ronald M Levin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Pkwy Ste 100, La Mesa, CA 91942 Phone: 619-698-0930
Dr. John J. Peckham, M.D, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-460-5111 Fax: 619-460-7815
Forrest B. Allen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9790 Marky Way, La Mesa, CA 91941 Phone: 619-985-1002

Patrick G Sullivan, MD - Medicare Anesthesiology in La Mesa, CA