Dr Philip Sullivan, MD in Evanston, WY - Psychiatry & Neurology

Dr Philip Sullivan, MD is a Psychiatry & Neurology - Psychiatry physician based in Evanston, Wyoming. Dr Philip Sullivan is licensed to practice in Wyoming (license number 5348A) and his current practice location is 831 State Highway 150 S, Evanston, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 789-3464.

NPI number for Dr Philip Sullivan is 1790830792 and his current mailing address is Po Box 177, Evanston, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790830792.

Contact Information

	Dr Philip Sullivan, MD
	831 State Highway 150 S, Evanston, WY 82930-5340
	(307) 789-3464
	(307) 789-7373

Physician's Profile

Full Name	Dr Philip Sullivan
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	831 State Highway 150 S, Evanston, Wyoming
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1790830792
Provider Enumeration Date: 01/23/2007
Last Update Date: 08/05/2011

Medical Identifiers

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

Identifier	Type	State	Issuer
1790830792	NPI	-	NPPES
1790830792	Other	WY	NATIONAL PROVIDER IDENTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	5348A (Wyoming)	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 Philip Sullivan 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 Address	Practice Location Address
Dr Philip Sullivan, MD Po Box 177, Evanston, WY 82931-0177 Ph: (307) 789-3464	Dr Philip Sullivan, MD 831 State Highway 150 S, Evanston, WY 82930-5340 Ph: (307) 789-3464

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Psychiatry & Neurology Doctors in Evanston, WY

Dr. Robin Regina Ballina, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 325 Front St, #328, Evanston, WY 82930 Phone: 801-319-4726 Fax: 307-789-1283
Dr. Peter Thomas Pinto, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464
Dr. Dawn Lynn Stewart, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 831 State Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-4599
Dr. Patricia A.e. Verellen, M.A., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 831 State Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373
Dr. Julie B Maggiolo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 831 State Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373

Dr Philip Sullivan, MD - Psychiatry & Neurology in Evanston, WY