Kenneth P Sullivan, PHD - Medicare Psychologist in Huntsville, AL

Kenneth P Sullivan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Huntsville, Alabama. His current practice location is 1104 Gleneagles Dr Sw # B, Huntsville, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 880-8202.

Kenneth P Sullivan is licensed to practice in Alabama (license number 413) 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 1932256302.

Contact Information

Kenneth P Sullivan, PHD
1104 Gleneagles Dr Sw # B,
Huntsville, AL 35801-6404
(256) 880-8202
(256) 880-8234

Map and Direction




Healthcare Provider's Profile

Full NameKenneth P Sullivan
GenderMale
SpecialityPsychologist - Clinical
Location1104 Gleneagles Dr Sw # B, Huntsville, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932256302
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8921266990
  • Enrollment ID: I20120222000235

Medical Identifiers

Medical identifiers for Kenneth P Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932256302NPI-NPPES
000070874MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 413 (Alabama)Primary

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. Kenneth P 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
Kenneth P Sullivan, PHD
1104 Gleneagles Dr Sw # B,
Huntsville, AL 35801-6404

Ph: (256) 880-8202
Kenneth P Sullivan, PHD
1104 Gleneagles Dr Sw # B,
Huntsville, AL 35801-6404

Ph: (256) 880-8202

Reviews and Comments


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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.

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