Timothy Shawn Sullivan, PHD - Medicare Psychologist in Akron, OH

Timothy Shawn Sullivan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Akron, Ohio. His current practice location is 701 White Pond Dr, Suite 300, Akron, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 572-1011.

Timothy Shawn Sullivan is licensed to practice in Ohio (license number 5645) 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 1336203397.

Contact Information

Timothy Shawn Sullivan, PHD
701 White Pond Dr, Suite 300,
Akron, OH 44320
(330) 572-1011
(330) 572-1018



Healthcare Provider's Profile

Full NameTimothy Shawn Sullivan
GenderMale
SpecialityPsychologist - Clinical
Location701 White Pond Dr, Akron, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336203397
  • Provider Enumeration Date: 12/21/2006
  • Last Update Date: 08/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3375532245
  • Enrollment ID: I20040507000374

Medical Identifiers

Medical identifiers for Timothy Shawn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336203397NPI-NPPES
2253350MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 5645 (Ohio)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. Timothy Shawn Sullivan allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049

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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. Timothy Shawn 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
Timothy Shawn Sullivan, PHD
701 White Pond Dr, Suite 300,
Akron, OH 44320

Ph: (330) 572-1011
Timothy Shawn Sullivan, PHD
701 White Pond Dr, Suite 300,
Akron, OH 44320

Ph: (330) 572-1011

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Psychologist in Akron, OH

Mr. Terry Bendo,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1372 Delia Ave, Akron, OH 44320
Phone: 330-761-3067    
Jessica Feinstein, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 214 W Bowery St, Akron, OH 44308
Phone: 330-543-1000    
Dr. Alan Dale Gilbertson, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Akron General Ave, Akron, OH 44307
Phone: 330-344-6525    Fax: 330-996-2943
Alanna G Updegraff, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Perkins Sq, Akron, OH 44308
Phone: 330-543-8050    Fax: 330-543-8054
Elizabeth R. Holmes, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2108 Braewick Cir, Ste 202, Akron, OH 44313
Phone: 330-920-9292    Fax: 330-920-9393
James Anthony Orlando, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 37 N Broadway St, Akron, OH 44308
Phone: 330-535-8181    Fax: 330-535-9303
Dr. Kevin Triemstra, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Perkins Sq, Akron, OH 44308
Phone: 330-543-4270    Fax: 330-543-4271

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