Dr Jesse George Sullivan Jr, MD - General Practice in El Reno, OK

Dr Jesse George Sullivan Jr, MD is a General Practice physician based in El Reno, Oklahoma. Dr Jesse George Sullivan Jr is licensed to practice in Oklahoma (license number 12233) and his current practice location is 2001 Parkview Dr, El Reno, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 262-2114.

NPI number for Dr Jesse George Sullivan Jr is 1285675405 and his current mailing address is 1116 Montreal Dr, Yukon, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285675405.

Contact Information

Dr Jesse George Sullivan Jr, MD
2001 Parkview Dr,
El Reno, OK 73036-2107
(405) 262-2114
(405) 262-2306



Physician's Profile

Full NameDr Jesse George Sullivan Jr
GenderMale
SpecialityGeneral Practice
Location2001 Parkview Dr, El Reno, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285675405
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jesse George Sullivan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285675405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 12233 (Oklahoma)Primary

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 Jesse George Sullivan Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jesse George Sullivan Jr, MD
1116 Montreal Dr,
Yukon, OK 73099-5349

Ph: (405) 354-9769
Dr Jesse George Sullivan Jr, MD
2001 Parkview Dr,
El Reno, OK 73036-2107

Ph: (405) 262-2114

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› Verified 6 days ago


General Practice Doctors in El Reno, OK

Dr. Margaret A Mehle, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 2001 Parkview Dr, El Reno, OK 73036
Phone: 405-262-2114    Fax: 405-262-2306
Robert Saul Castro, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1631 A East Hwy 66, El Reno, OK 73036
Phone: 405-262-7631    Fax: 405-262-8099

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