David Michael Sullivan, MD - Medicare Diagnostic Radiology in Evansville, IN

David Michael Sullivan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Evansville, Indiana. He went to Southern Illinois University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Evansville Radiology Pc, Evansville Radiology Pc and his current practice location is 350 W Columbia St, Suite 420, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 422-3254.

David Michael Sullivan is licensed to practice in Indiana (license number 01046583A) 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 1245227370.

Contact Information

David Michael Sullivan, MD
350 W Columbia St, Suite 420,
Evansville, IN 47710-1782
(812) 422-3254
(812) 426-6388



Physician's Profile

Full NameDavid Michael Sullivan
GenderMale
SpecialityDiagnostic Radiology
Experience36 Years
Location350 W Columbia St, Evansville, Indiana
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:
  • David Michael Sullivan attended and graduated from Southern Illinois University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1245227370
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 06/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1355335019
  • Enrollment ID: I20040414001176

Medical Identifiers

Medical identifiers for David Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245227370NPI-NPPES
300095207OtherINRAILROAD MEDICARE
300075778OtherINRAILROAD MEDICARE
P00356434OtherINRAILROAD MEDICARE
200127300MedicaidIN
64880438MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 01046583A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Deaconess Hospital IncEvansville, INHospital
Good Samaritan HospitalVincennes, INHospital
Baptist Health MadisonvilleMadisonville, KYHospital
Methodist HospitalHenderson, KYHospital
Gibson General HospitalPrinceton, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evansville Radiology Pc640682603126
Evansville Radiology Pc640682603126

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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. David Michael Sullivan allows following entities to bill medicare on his behalf.
Entity NameEvansville Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891782983
PECOS PAC ID: 6406826031
Enrollment ID: O20040729001191

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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. David 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 AddressPractice Location Address
David Michael Sullivan, MD
350 W Columbia St, Suite 420,
Evansville, IN 47710-1782

Ph: (812) 422-3254
David Michael Sullivan, MD
350 W Columbia St, Suite 420,
Evansville, IN 47710-1782

Ph: (812) 422-3254

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Radiology Doctors in Evansville, IN

Dr. Thomas M. Harmon, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 6225 E Columbia St, Evansville, IN 47715
Phone: 812-474-1110    Fax: 812-477-4153
Mr. John R Bies, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 Professional Blvd, Evansville, IN 47714
Phone: 812-479-9500    Fax: 812-437-0037
Dr. Daniel Riherd, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710
Phone: 812-450-5000    
Gary W Kerber, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Washington Ave, Evansville, IN 47750
Phone: 812-485-4415    Fax: 812-471-6650
Dr. Alexander Matthew Clayton, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710
Phone: 812-422-3254    Fax: 812-426-6388
Dr. Aly A. Razek, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 700 N Burkhardt Rd, Evansville, IN 47715
Phone: 812-474-1110    Fax: 812-471-9282
Dr. Michael Wayne Daugherty, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710
Phone: 812-422-3254    

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