Heather E Sullivan, MD in Eastford, CT - Medicare Family Medicine

Heather E Sullivan, MD is a medicare enrolled "Family Medicine" physician in Eastford, Connecticut. Her current practice location is 108 County Rd, Eastford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 315-5740.

Heather E Sullivan is licensed to practice in Connecticut (license number 024767) 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 1578584165.

Contact Information

	Heather E Sullivan, MD
	108 County Rd, Eastford, CT 06242-7710
	(860) 315-5740
	(860) 315-5741

Physician's Profile

Full Name	Heather E Sullivan
Gender	Female
Speciality	Family Medicine
Location	108 County Rd, Eastford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578584165
Provider Enumeration Date: 07/21/2006
Last Update Date: 04/18/2020

Medicare PECOS Information:

PECOS PAC ID: 5294737417
Enrollment ID: I20150513001331

Medical Identifiers

Medical identifiers for Heather E Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578584165	NPI	-	NPPES
DO1247675	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	024767 (Connecticut)	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. Heather E 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
Heather E Sullivan, MD 108 County Road, Po Box 385, Eastford, CT 06242 Ph: (860) 315-5740	Heather E Sullivan, MD 108 County Rd, Eastford, CT 06242-7710 Ph: (860) 315-5740

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Heather E Sullivan, MD - Medicare Family Medicine in Eastford, CT