Robert D Sullivan, OD is a medicare enrolled "Optometrist" provider in Town & Country, Missouri. His current practice location is
2185 South Mason Rd, Town & Country, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 821-5666.
Robert D Sullivan is licensed to practice in Missouri (license number 2018021513) 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 1043799844.
Healthcare Provider's Profile
| Full Name | Robert D Sullivan |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 2185 South Mason Rd, Town & Country, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043799844
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 11/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537419270
- Enrollment ID: I20180830001386
Medical Identifiers
Medical identifiers for Robert D Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043799844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2018021513 (Missouri) | 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. Robert D Sullivan allows following entities to bill medicare on his behalf.
| Provider Name | Eye Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609066034
PECOS PAC ID: 4385544600
Enrollment ID: O20040204000494 |
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| Provider Name | Promohispano 2 Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356621957
PECOS PAC ID: 6709038482
Enrollment ID: O20121203000288 |
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| Provider Name | Clarkson Optometry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497155345
PECOS PAC ID: 0840411799
Enrollment ID: O20141020000232 |
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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 D 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 D Sullivan, OD
4801 S Cliff Ave Ste 100,
Independence, MO 64055-6954
Ph: (816) 478-1230 | Robert D Sullivan, OD
2185 South Mason Rd,
Town & Country, MO 63131-1640
Ph: (314) 821-5666 |
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