Dr Brian Michael Sullivan, MD - Medicare Family Practice in Baker, MT

Dr Brian Michael Sullivan, MD is a medicare enrolled "Family Medicine" physician in Baker, Montana. He went to University Of Pittsburgh School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fallon Medical Complex Inc and his current practice location is 202 S 4th St W, Baker, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 778-2833.

Dr Brian Michael Sullivan is licensed to practice in Montana (license number 49845) 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 1972761252.

Contact Information

Dr Brian Michael Sullivan, MD
202 S 4th St W,
Baker, MT 59313-9156
(406) 778-2833
(406) 778-5355



Physician's Profile

Full NameDr Brian Michael Sullivan
GenderMale
SpecialityFamily Practice
Experience17 Years
Location202 S 4th St W, Baker, Montana
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:
  • Dr Brian Michael Sullivan attended and graduated from University Of Pittsburgh School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1972761252
  • Provider Enumeration Date: 05/23/2008
  • Last Update Date: 01/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062538127
  • Enrollment ID: I20160804002622

Medical Identifiers

Medical identifiers for Dr Brian Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972761252NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 49845 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fallon Medical Complex HospitalBaker, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fallon Medical Complex Inc09411194997

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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. Dr Brian Michael Sullivan allows following entities to bill medicare on his behalf.
Entity NameFallon Medical Complex Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386700763
PECOS PAC ID: 0941119499
Enrollment ID: O20040614000391

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Entity NameFallon Medical Complex Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1316965346
PECOS PAC ID: 0941119499
Enrollment ID: O20061104000600

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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. Dr Brian 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
Dr Brian Michael Sullivan, MD
514 Americas Way, Apt 6347,
Box Elder, SD 57719-7600

Ph: (949) 444-6695
Dr Brian Michael Sullivan, MD
202 S 4th St W,
Baker, MT 59313-9156

Ph: (406) 778-2833

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Family Medicine Doctors in Baker, MT


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