Robert Terrence Sullivan, MD is a medicare enrolled "Orthopaedic Surgery" physician in Moncks Corner, South Carolina. 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 |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 300 Callen Blvd Ste 330, Moncks Corner, South Carolina |
|---|
| 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:
- Robert Terrence Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1124198734
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
|---|
| 207X00000X | Orthopaedic Surgery | 52239 (South Carolina) | Primary |
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 |
|---|
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 |
Reviews and Comments