Brendan Michael Sullivan, PT, FACHE in Rock Hill, SC - Medicare Physical Therapist Provider

Brendan Michael Sullivan, PT, FACHE is a medicare enrolled "Physical Therapist" provider in Rock Hill, South Carolina. His current practice location is 134 Professional Park Dr, Rock Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 863-4878.

Brendan Michael Sullivan is licensed to practice in Pennsylvania (license number PT018313) 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 1174724686.

Contact Information

	Brendan Michael Sullivan, PT, FACHE
	134 Professional Park Dr, Rock Hill, SC 29732-1178
	(704) 863-4878
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brendan Michael Sullivan
Gender	Male
Speciality	Physical Therapist
Location	134 Professional Park Dr, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174724686
Provider Enumeration Date: 05/31/2007
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 2860924065
Enrollment ID: I20241014000114

Medical Identifiers

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

Identifier	Type	State	Issuer
1174724686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT018313 (Pennsylvania)	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. Brendan Michael Sullivan allows following entities to bill medicare on his behalf.

Provider Name	Carolinas Physicians Network Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962858662 PECOS PAC ID: 3375449655 Enrollment ID: O20031209000106

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. Brendan Michael 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
Brendan Michael Sullivan, PT, FACHE 14912 High Bluff Ct, Charlotte, NC 28278-4402 Ph: (610) 906-9103	Brendan Michael Sullivan, PT, FACHE 134 Professional Park Dr, Rock Hill, SC 29732-1178 Ph: (704) 863-4878

Reviews and Comments

Physical Therapist in Rock Hill, SC

Tammy C Gantzer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 Professional Park Drive, Rock Hill, SC 29732 Phone: 803-329-4685 Fax: 803-329-4683
Zachary Titus Berg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-366-8155
Michael Arcidiacono, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 154 Amendment Ave, Rock Hill, SC 29732 Phone: 803-366-9990 Fax: 803-366-9960
Amanda Borth, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1525 Celanese Rd Ste 113, Rock Hill, SC 29732 Phone: 803-366-8243 Fax: 803-366-8245
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2174 Cherry Road, Rock Hill, SC 29732 Phone: 803-325-8282 Fax: 803-325-8283
Kathy Z Dorton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2156 Olde Creek Rd, Rock Hill, SC 29732 Phone: 803-324-5846 Fax: 803-324-5846
Mrs. Carole Barber Tiedeman, PT PHYSICAL THERAPIS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1169 Ebenezer Rd Ste C, Rock Hill, SC 29732 Phone: 803-324-5370 Fax: 803-324-7650

Brendan Michael Sullivan, PT, FACHE - Medicare Physical Therapist in Rock Hill, SC