Scot A Sullivan, MD - Medicare Ophthalmology in Portland, OR

Scot A Sullivan, MD is a medicare enrolled "Ophthalmology" physician in Portland, Oregon. He went to University Of Oklahoma College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Ophthalmology. His current practice location is 10305 Sw Park Way Ste 203, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 223-8333.

Scot A Sullivan is licensed to practice in Oregon (license number MD21723) 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 1164481230.

Contact Information

Scot A Sullivan, MD
10305 Sw Park Way Ste 203,
Portland, OR 97225-5033
(503) 223-8333
(503) 595-8160



Physician's Profile

Full NameScot A Sullivan
GenderMale
SpecialityOphthalmology
Experience29 Years
Location10305 Sw Park Way Ste 203, Portland, Oregon
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:
  • Scot A Sullivan attended and graduated from University Of Oklahoma College Of Medicine in 1995
  NPI Data:
  • NPI Number: 1164481230
  • Provider Enumeration Date: 03/18/2006
  • Last Update Date: 09/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931190725
  • Enrollment ID: I20040520000726

Medical Identifiers

Medical identifiers for Scot A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164481230NPI-NPPES
134409OtherORGROUP PIN
100102160BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 20157 (Oklahoma)Secondary
207W00000XOphthalmology MD21723 (Oregon)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. Scot A Sullivan allows following entities to bill medicare on his behalf.
Entity NamePortland Oculoplastics P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316121692
PECOS PAC ID: 6608885363
Enrollment ID: O20060407000610

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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. Scot A 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
Scot A Sullivan, MD
10305 Sw Park Way Ste 203,
Portland, OR 97225-5033

Ph: (503) 223-8333
Scot A Sullivan, MD
10305 Sw Park Way Ste 203,
Portland, OR 97225-5033

Ph: (503) 223-8333

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Ophthalmology Doctors in Portland, OR

Amy Ying Tong, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1955 Nw Northrup St, Portland, OR 97209
Phone: 503-227-2020    
Sungjae Yang,
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239
Phone: 503-494-5023    
Dr. Michael David Straiko, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210
Phone: 503-413-8202    Fax: 503-413-6937
Allison Rebecca Loh, M.D.
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 3375 Sw Terwilliger Blvd, Portland, OR 97239
Phone: 503-494-3000    Fax: 503-494-4286
John Carl Morrison, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3303 Sw Bond Ave, Portland, OR 97239
Phone: 503-494-3000    Fax: 503-418-0843
Adam Marcus Hanif,
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3000    Fax: 503-494-4286
Mr. John Jah-hyun Koo, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 N. Interstate Avenue, Department Of Opthalmology, Portland, OR 97227
Phone: 503-331-6330    Fax: 503-571-5877

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