Robert Terrence Sullivan, MD is a medicare enrolled "Orthopaedic Surgery" physician in Moncks Corner, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Roper Saint Francis Physicians Network and his current practice location is
300 Callen Blvd Ste 330, Moncks Corner, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 763-2857.
Robert Terrence Sullivan is licensed to practice in South Carolina (license number 52239) 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 1124198734.
Physician's Profile
| Full Name | Robert Terrence Sullivan |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 25 Years |
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| Location | 300 Callen Blvd Ste 330, Moncks Corner, South Carolina |
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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:
- Robert Terrence Sullivan attended and graduated from Medical University Of South Carolina College Of Medicine in 1999
NPI Data:
- NPI Number: 1124198734
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880726298
- Enrollment ID: I20180626000794
Medical Identifiers
Medical identifiers for Robert Terrence Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124198734 | NPI | - | NPPES |
| NC3045 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 52239 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Roper Saint Francis Physicians Network | 5193874824 | 422 |
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. Robert Terrence Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Roper Saint Francis Physicians Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346752383
PECOS PAC ID: 5193874824
Enrollment ID: O20090528000405 |
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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. Robert Terrence 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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Robert Terrence Sullivan, MD
Po Box 751649,
Charlotte, NC 28275-1649
Ph: (843) 789-1620 | Robert Terrence Sullivan, MD
300 Callen Blvd Ste 330,
Moncks Corner, SC 29461-8460
Ph: (843) 763-2857 |
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