Patrick B Sullivan, MD in Providence, RI - Medicare Emergency Medicine

Patrick B Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. He went to Tufts University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Brown Emergency Medicine and his current practice location is 164 Summit Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-3000.

Patrick B Sullivan is licensed to practice in Massachusetts (license number 282126) 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 1447570288.

Contact Information

	Patrick B Sullivan, MD
	164 Summit Ave, Providence, RI 02906-2894
	(401) 793-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Patrick B Sullivan
Gender	Male
Speciality	Emergency Medicine
Experience	14 Years
Location	164 Summit Ave, Providence, Rhode Island
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:

Patrick B Sullivan attended and graduated from Tufts University School Of Medicine in 2010

NPI Data:

NPI Number: 1447570288
Provider Enumeration Date: 06/03/2010
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9032335609
Enrollment ID: I20140717001642

Medical Identifiers

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

Identifier	Type	State	Issuer
1447570288	NPI	-	NPPES
110099845A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD14523 (Rhode Island)	Secondary
207P00000X	Emergency Medicine	282126 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Newport Hospital	Newport, RI	Hospital
The Miriam Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brown Emergency Medicine	7214833169	140

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 B Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Brown Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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 B 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 B Sullivan, MD 125 Whipple St Ste 3, Providence, RI 02908-3258 Ph: (401) 854-2504	Patrick B Sullivan, MD 164 Summit Ave, Providence, RI 02906-2894 Ph: (401) 793-3000

Reviews and Comments

Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538
Dr. Gregory R Lockhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-444-4000 Fax: 401-427-7795
Ian M Jacobson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 330-493-4443
Dr. Daniel Shanin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000
Dr. Oriane Diana Longerstaey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 704-355-3181
Rachel Smith Shain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-6489 Fax: 401-444-6662
Otto Liebmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538

Patrick B Sullivan, MD - Medicare Emergency Medicine in Providence, RI