Kenton R Sullivan, MD - Medicare Emergency Medicine in Lincoln, NE

Kenton R Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Lincoln, Nebraska. His current practice location is 1600 S 48th St, Er Dept, Lincoln, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 489-0200.

Kenton R Sullivan is licensed to practice in Nebraska (license number 20751) 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 1518978931.

Contact Information

Kenton R Sullivan, MD
1600 S 48th St, Er Dept,
Lincoln, NE 68506
(402) 489-0200
Not Available



Physician's Profile

Full NameKenton R Sullivan
GenderMale
SpecialityEmergency Medicine
Location1600 S 48th St, Lincoln, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518978931
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 05/19/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8123155884
  • Enrollment ID: I20100428000877

Medical Identifiers

Medical identifiers for Kenton R Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518978931NPI-NPPES
04006OtherNEBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20751 (Nebraska)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. Kenton R Sullivan allows following entities to bill medicare on his behalf.
Entity NameNebraska Emergency Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669576831
PECOS PAC ID: 4587651922
Enrollment ID: O20040428000633

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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. Kenton R 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
Kenton R Sullivan, MD
Po Box 81406,
Lincoln, NE 68501

Ph: (800) 678-7672
Kenton R Sullivan, MD
1600 S 48th St, Er Dept,
Lincoln, NE 68506

Ph: (402) 489-0200

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Emergency Medicine Doctors in Lincoln, NE

Natasha Nicole Andersen, PA-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5901 N 27th St Ste 101, Lincoln, NE 68521
Phone: 402-483-8582    
Rex Kent Reckewey, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8055 O Street, Suite 300, Lincoln, NE 68510
Phone: 402-421-0896    Fax: 402-421-0945
Terry L Rounsborg, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 555 S 70th St, Lincoln, NE 68510
Phone: 402-219-7142    Fax: 402-219-8961
Edward Joseph Mlinek, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 South 48th Street, Er Dept, Lincoln, NE 68506
Phone: 402-489-0200    
Ky Camron Newell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 S 48th St, Er Dept, Lincoln, NE 68506
Phone: 402-489-0200    
Daniel E Schiefelbein, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 South 48th St, Er Dept, Lincoln, NE 68506
Phone: 402-489-0200    
Tadd Alan Delozier, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 South 48th St, Er Dept, Lincoln, NE 68506
Phone: 402-489-0200    

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