Bradley Sullivan, DPT in Union City, CA - Medicare Physical Therapist Provider

Bradley Sullivan, DPT is a medicare enrolled "Physical Therapist" provider in Union City, California. His current practice location is 3555 Whipple Rd, Union City, California. You can reach out to his office (for appointments etc.) via phone at (510) 675-4010.

Bradley Sullivan is licensed to practice in California (license number 40764) 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 1104257641.

Contact Information

	Bradley Sullivan, DPT
	3555 Whipple Rd, Union City, CA 94587-1507
	(510) 675-4010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley Sullivan
Gender	Male
Speciality	Physical Therapist
Location	3555 Whipple Rd, Union City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104257641
Provider Enumeration Date: 12/10/2013
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2466682570
Enrollment ID: I20140310002240

Medical Identifiers

Medical identifiers for Bradley Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104257641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40764 (California)	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. Bradley Sullivan allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Bradley 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
Bradley Sullivan, DPT 3555 Whipple Rd, Union City, CA 94587-1507 Ph: () -	Bradley Sullivan, DPT 3555 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 675-4010

Reviews and Comments

Physical Therapist in Union City, CA

Ketki P Marathe, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-4010
Ms. Jean Zee, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30116 Eigenbrodt Way, Union City, CA 94587 Phone: 510-675-5966 Fax: 510-675-5955
Linda Louise Joost, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-4289
Trina Elizabeth Park, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-3342
Carol Jo Tichenor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-4259 Fax: 510-675-3241
Yvonne Gee, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34400 Mission Blvd, Union City, CA 94587 Phone: 510-429-6474 Fax: 510-429-6428
Oai L Giang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34113 Seeger St, Union City, CA 94587 Phone: 510-677-1853

Bradley Sullivan, DPT - Medicare Physical Therapist in Union City, CA