Dr Matthew Ryan Sullivan, OD - Medicare Optometrist in Prescott, AZ

Dr Matthew Ryan Sullivan, OD is a medicare enrolled "Optometrist" provider in Prescott, Arizona. He went to University Alabama Birmingham - School Of Optometry and graduated in 2000 and has 24 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Matthew R Sullivan Od Pc and his current practice location is 980 Willow Creek Road, Suite 202, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 778-3937.

Dr Matthew Ryan Sullivan is licensed to practice in Arizona (license number 1102) 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 1053311472.

Contact Information

Dr Matthew Ryan Sullivan, OD
980 Willow Creek Road, Suite 202,
Prescott, AZ 86301-1610
(928) 778-3937
(928) 778-3939



Healthcare Provider's Profile

Full NameDr Matthew Ryan Sullivan
GenderMale
SpecialityOptometry
Experience24 Years
Location980 Willow Creek Road, Prescott, Arizona
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:
  • Dr Matthew Ryan Sullivan attended and graduated from University Alabama Birmingham - School Of Optometry in 2000
  NPI Data:
  • NPI Number: 1053311472
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 01/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0648265124
  • Enrollment ID: I20091203000689

Medical Identifiers

Medical identifiers for Dr Matthew Ryan Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053311472NPI-NPPES
1053311472OtherAZINDIVIDUAL NPI
410045761OtherAZRAILROAD
1285813360OtherAZGROUP NPI
64294OtherAZMEDICARE GROUP NUMBER
1102OtherAZSTATE LICENSE
620353MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1102 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Matthew R Sullivan Od Pc07492753783

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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. Dr Matthew Ryan Sullivan allows following entities to bill medicare on his behalf.
Provider NameMatthew R Sullivan Od Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285813360
PECOS PAC ID: 0749275378
Enrollment ID: O20040414001843

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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. Dr Matthew Ryan 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
Dr Matthew Ryan Sullivan, OD
980 Willow Creek Road, Suite 202,
Prescott, AZ 86301-1610

Ph: (928) 778-3937
Dr Matthew Ryan Sullivan, OD
980 Willow Creek Road, Suite 202,
Prescott, AZ 86301-1610

Ph: (928) 778-3937

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Optometrist in Prescott, AZ

Derek Jeanes,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3192 Willow Creek Rd, Prescott, AZ 86301
Phone: 928-445-1234    Fax: 602-508-4830
Dr. Patrick Allen Willer, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 3911 E State Route 69, Prescott, AZ 86301
Phone: 928-442-0707    
Dr. Frank V. Mellblom, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: V.a. Medical Center Navahcs, 500 N Hwy 89, Prescott, AZ 86314
Phone: 928-445-4860    
Dr. Monica Rae Stotler, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1951 Commerce Center Cir, Unit A, Prescott, AZ 86301
Phone: 928-717-3259    
Geiler And Geiler, Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1000 Willow Creek Rd, Ste J, Prescott, AZ 86301
Phone: 928-445-2060    Fax: 925-445-2067
Steven Paley Od, Inc.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1280 Gail Gardner Way, Prescott, AZ 86305
Phone: 928-541-7767    Fax: 928-541-9873

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