Kevin John Sullivan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tamuning, GU

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Kevin John Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tamuning, Guam. He graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Office Anesthesia Staffing, Sunshine State Anesthesia Partners Llc and his current practice location is 280 Pale San Vitores Rd, Tamuning, Guam. You can reach out to his office (for appointments etc.) via phone at (671) 647-4542.

Kevin John Sullivan is licensed to practice in Guam (license number NP0152) 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 1245538669.

Contact Information

Kevin John Sullivan, CRNA
280 Pale San Vitores Rd,
Tamuning, GU 96913-3615
(671) 647-4542
Not Available

Map and Direction




Provider's Profile

Full NameKevin John Sullivan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location280 Pale San Vitores Rd, Tamuning, Guam
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin John Sullivan graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1245538669
  • Provider Enumeration Date: 03/09/2011
  • Last Update Date: 03/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002091493
  • Enrollment ID: I20110428000599

Medical Identifiers

Medical identifiers for Kevin John Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245538669NPI-NPPES
G00N4OtherFLBCBS ATTACHED TO GRP 77329
P01195017OtherFLRAILROAD MEDICARE
003321600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA000407 (Nevada)Secondary
367500000XNurse Anesthetist, Certified Registered ARNP9237910 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered NP0152 (Guam)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Office Anesthesia Staffing690128570933
Sunshine State Anesthesia Partners Llc8123434792365

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. Kevin John Sullivan allows following entities to bill medicare on his behalf.
Entity NameLakewood Ranch Anesthesia Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932157989
PECOS PAC ID: 9638074248
Enrollment ID: O20031205000181
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameLakewood Ambulatory Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313733
PECOS PAC ID: 3678896354
Enrollment ID: O20150105001092
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003
Entity NameOffice Anesthesia Staffing
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972232023
PECOS PAC ID: 6901285709
Enrollment ID: O20220624002342

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. Kevin John 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 AddressPractice Location Address
Kevin John Sullivan, CRNA
369 Farenholt Ave,
Tamuning, GU 96913-3106

Ph: (671) 787-8627		Kevin John Sullivan, CRNA
280 Pale San Vitores Rd,
Tamuning, GU 96913-3615

Ph: (671) 647-4542

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tamuning, GU

Sangjung Kim,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913
Phone: 671-647-2555    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.