Dr Mary Ann Sullivan, MD in Camp Pendleton, CA - Medicare Ophthalmology

Dr Mary Ann Sullivan, MD is a medicare enrolled "Ophthalmology" physician in Camp Pendleton, California. Her current practice location is Nmrtc Camp Pendleton, 4th Floor Rm 4172, Camp Pendleton, California. You can reach out to her office (for appointments etc.) via phone at (575) 749-3629.

Dr Mary Ann Sullivan is licensed to practice in Virginia (license number 101256883) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043659949.

Contact Information

	Dr Mary Ann Sullivan, MD
	Nmrtc Camp Pendleton, 4th Floor Rm 4172, Camp Pendleton, CA 92055
	(575) 749-3629
	Not Available

Physician's Profile

Full Name	Dr Mary Ann Sullivan
Gender	Female
Speciality	Ophthalmology
Location	Nmrtc Camp Pendleton, Camp Pendleton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043659949
Provider Enumeration Date: 06/24/2013
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 9537391891
Enrollment ID: I20140421000848

Medical Identifiers

Medical identifiers for Dr Mary Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043659949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101256883 (Virginia)	Secondary
207W00000X	Ophthalmology	101256883 (Virginia)	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 Mary Ann 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 Address	Practice Location Address
Dr Mary Ann Sullivan, MD 8901 Wisconsin Ave, Bethesda, MD 20889-5600 Ph: (575) 749-3629	Dr Mary Ann Sullivan, MD Nmrtc Camp Pendleton, 4th Floor Rm 4172, Camp Pendleton, CA 92055 Ph: (575) 749-3629

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Ophthalmology Doctors in Camp Pendleton, CA

Dr. Lawrence Alvin Wood, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Bldg H100, Santa Margarita Road, Camp Pendleton, CA 92055 Phone: 760-725-6641 Fax: 760-725-0083
Kenneth Brinsko, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Bldg H100, Santa Margarita Road, Attention: Code Cs-pa, Camp Pendleton, CA 92055 Phone: 760-725-6641 Fax: 760-725-0083

Dr Mary Ann Sullivan, MD - Medicare Ophthalmology in Camp Pendleton, CA