Malachy J Sullivan, MD - Medicare Internal Medicine in Bangor, ME

Malachy J Sullivan, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Bangor, Maine. His current practice location is 1 Northeast Dr, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 275-3800.

Malachy J Sullivan is licensed to practice in Maine (license number MD26507) 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 1871903351.

Contact Information

Malachy J Sullivan, MD
1 Northeast Dr,
Bangor, ME 04401-4332
(207) 275-3800
(207) 275-3836



Physician's Profile

Full NameMalachy J Sullivan
GenderMale
SpecialityInternal Medicine - Clinical Cardiac Electrophysiology
Location1 Northeast Dr, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871903351
  • Provider Enumeration Date: 05/06/2014
  • Last Update Date: 08/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082904040
  • Enrollment ID: I20230721000413

Medical Identifiers

Medical identifiers for Malachy J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871903351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD26507 (Maine)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology MD26507 (Maine)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. Malachy J Sullivan allows following entities to bill medicare on his behalf.
Entity NameEastern Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790789147
PECOS PAC ID: 2062315161
Enrollment ID: O20040128000088

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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. Malachy J 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
Malachy J Sullivan, MD
43 Whiting Hill Rd Ste 300,
Brewer, ME 04412-1006

Ph: (207) 973-5000
Malachy J Sullivan, MD
1 Northeast Dr,
Bangor, ME 04401-4332

Ph: (207) 275-3800

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Internal Medicine Doctors in Bangor, ME

Eddy Karnabi, MD PHD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Northeast Dr, Bangor, ME 04401
Phone: 207-275-3800    
Dr. Theodore William James, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 417 State St Ste 121, Bangor, ME 04401
Phone: 207-973-4266    
Fnu Kaleemullah, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-7314    
Sverrir I Gunnarsson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Northeast Dr, Bangor, ME 04401
Phone: 207-275-3800    
Liga Yusvirazi, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 360 Broadway, Bangor, ME 04401
Phone: 207-907-3283    
Ilsa Annetta Shulman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Broadway, Bangor, ME 04401
Phone: 207-907-3300    Fax: 207-907-1923
Dr. Michael Paul Sighinolfi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 360 Broadway Ste 100, Bangor, ME 04401
Phone: 207-907-3550    Fax: 207-907-3562

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