SCOTT G SULLIVAN PA
NPI 1750440004
Physician Assistant - Medical in Panama City, FL
About Scott G Sullivan Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT G SULLIVAN PA (NPI 1750440004) is an individual medical provider in Panama City, Florida, licensed in Florida (PA9110596) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Scott G Sullivan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Scott Sullivan's NPI number?
The NPI number for Scott Sullivan is 1750440004. It was assigned to this individual provider in the NPPES registry on December 6, 2006.
Where is Scott Sullivan located?
Scott Sullivan practices at 408 W 19th St, Panama City, FL 32405. The listed phone number is (850) 481-1101.
What is Scott Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Scott Sullivan enrolled in Medicare?
Yes. Scott Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Scott Sullivan was last updated on July 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Scott G Sullivan, PA · NPI 1750440004
Medical physician in Panama City, Florida. Individual provider, active in the CMS NPPES registry since December 6, 2006.
## Identity
- **NPI:** 1750440004 (Entity type: Individual)
- **Enumerated:** December 6, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA9110596 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 408 W 19TH ST, Panama City, FL 32405-4602
- **Phone:** (850) 481-1101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750440004) · Data from the CMS NPPES public registry.