Preston Sullivan, MD is a medicare enrolled "Ophthalmology" physician in Gig Harbor, Washington. He went to Geisel School Of Medicine At Dartmouth and graduated in 1996 and has 28 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
5201 Olympic Dr Ste 110, Gig Harbor, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 432-3238.
Preston Sullivan is licensed to practice in Washington (license number MD00044121) 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 1275696056.
Physician's Profile
Full Name | Preston Sullivan |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 28 Years |
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Location | 5201 Olympic Dr Ste 110, Gig Harbor, Washington |
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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. |
Medical Education and Training:
- Preston Sullivan attended and graduated from Geisel School Of Medicine At Dartmouth in 1996
NPI Data:
- NPI Number: 1275696056
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 02/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002896214
- Enrollment ID: I20040923000474
Medical Identifiers
Medical identifiers for Preston Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275696056 | NPI | - | NPPES |
8404758 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | MD00044121 (Washington) | Primary |
Medical Facilities Affiliation
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. Preston Sullivan allows following entities to bill medicare on his behalf.
Entity Name | Kitsap Eye Physicians Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174732556 PECOS PAC ID: 2062309354 Enrollment ID: O20040302000385 |
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Entity Name | Sightline Ophthalmology Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003419664 PECOS PAC ID: 6709285349 Enrollment ID: O20210601002273 |
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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. Preston 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 |
Preston Sullivan, MD 5201 Olympic Dr Ste 110, Gig Harbor, WA 98335-1778 Ph: (253) 432-3238 | Preston Sullivan, MD 5201 Olympic Dr Ste 110, Gig Harbor, WA 98335-1778 Ph: (253) 432-3238 |
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