Ryan Richard Sullivan, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Spring Hill, Tennessee. His current practice location is
1229 Reserve Blvd, Suite 200, Spring Hill, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 302-5000.
Ryan Richard Sullivan is licensed to practice in Tennessee (license number 38819) 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 1417085606.
Physician's Profile
Full Name | Ryan Richard Sullivan |
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Gender | Male |
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Speciality | Allergy & Immunology - Allergy |
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Location | 1229 Reserve Blvd, Spring Hill, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417085606
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 11/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901986280
- Enrollment ID: I20220823004265
Medical Identifiers
Medical identifiers for Ryan Richard Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417085606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207KA0200X | Allergy & Immunology - Allergy | 38819 (Tennessee) | 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. Ryan Richard Sullivan allows following entities to bill medicare on his behalf.
Entity Name | Uvalde County Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740288505 PECOS PAC ID: 7315832722 Enrollment ID: O20040216000884 |
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Entity Name | Uvalde County Hospital Authority |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1740288505 PECOS PAC ID: 7315832722 Enrollment ID: O20160613001680 |
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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. Ryan Richard 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 |
Ryan Richard Sullivan, MD 100 Blythewood Dr Ste A, Columbia, TN 38401-4828 Ph: (615) 302-5000 | Ryan Richard Sullivan, MD 1229 Reserve Blvd, Suite 200, Spring Hill, TN 37174 Ph: (615) 302-5000 |
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