Ryan Richard Sullivan, MD - Medicare Allergy & Immunology in Spring Hill, TN

Ryan Richard Sullivan, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Spring Hill, Tennessee. His current practice location is 1229 Reserve Blvd, Suite 200, Spring Hill, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 302-5000.

Ryan Richard Sullivan is licensed to practice in Tennessee (license number 38819) 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 1417085606.

Contact Information

Ryan Richard Sullivan, MD
1229 Reserve Blvd, Suite 200,
Spring Hill, TN 37174
(615) 302-5000
(615) 302-5006



Physician's Profile

Full NameRyan Richard Sullivan
GenderMale
SpecialityAllergy & Immunology - Allergy
Location1229 Reserve Blvd, Spring Hill, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417085606
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 11/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6901986280
  • Enrollment ID: I20220823004265

Medical Identifiers

Medical identifiers for Ryan Richard Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417085606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207KA0200XAllergy & Immunology - Allergy 38819 (Tennessee)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. Ryan Richard Sullivan allows following entities to bill medicare on his behalf.
Entity NameUvalde County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740288505
PECOS PAC ID: 7315832722
Enrollment ID: O20040216000884

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Entity NameUvalde County Hospital Authority
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740288505
PECOS PAC ID: 7315832722
Enrollment ID: O20160613001680

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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. Ryan Richard 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
Ryan Richard Sullivan, MD
100 Blythewood Dr Ste A,
Columbia, TN 38401-4828

Ph: (615) 302-5000
Ryan Richard Sullivan, MD
1229 Reserve Blvd, Suite 200,
Spring Hill, TN 37174

Ph: (615) 302-5000

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Allergy & Immunology Doctors in Spring Hill, TN


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