Mitchell Sullivan, MD - Medicare Family Practice in Lyndonville, VT

Mitchell Sullivan, MD is a medicare enrolled "Family Medicine" physician in Lyndonville, Vermont. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeastern Vermont Regional Hospital Inc and his current practice location is 195 Industrial Pkwy, Lyndonville, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 748-9501.

Mitchell Sullivan is licensed to practice in Vermont (license number 042-0012982) 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 1841292562.

Contact Information

Mitchell Sullivan, MD
195 Industrial Pkwy,
Lyndonville, VT 05851-4511
(802) 748-9501
(802) 748-3420



Physician's Profile

Full NameMitchell Sullivan
GenderMale
SpecialityFamily Practice
Experience32 Years
Location195 Industrial Pkwy, Lyndonville, Vermont
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:
  • Mitchell Sullivan graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1841292562
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022024108
  • Enrollment ID: I20141121000566

Medical Identifiers

Medical identifiers for Mitchell Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841292562NPI-NPPES
160094OtherNHCIGNA HEALTHCARE
0106084YPNH01OtherNHANTHEM BC/BS
5830418OtherAETNA GROUP
9367OtherNHSTATE LICENSE #
30008999MedicaidNH
930044719OtherRAILROAD MEDICARE
3073723MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9367 (New Hampshire)Secondary
207Q00000XFamily Medicine 042-0012982 (Vermont)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Caledonia Home Health CareSaint johnsbury, VTHome health agency
Caledonia Home Health CareSaint johnsbury, VTHospice
Northeastern Vermont Regional HospitalSaint johnsbury, VTHospital
Androscoggin Valley HospitalBerlin, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeastern Vermont Regional Hospital Inc3678481405102

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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. Mitchell Sullivan allows following entities to bill medicare on his behalf.
Entity NameNortheastern Vermont Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659459428
PECOS PAC ID: 3678481405
Enrollment ID: O20080208000261

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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. Mitchell 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
Mitchell Sullivan, MD
Po Box 83,
Lyndonville, VT 05851-0083

Ph: (802) 748-9501
Mitchell Sullivan, MD
195 Industrial Pkwy,
Lyndonville, VT 05851-4511

Ph: (802) 748-9501

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Family Medicine Doctors in Lyndonville, VT


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