Jerry J Sullivan, MD - Family Medicine in Springfield, VA

Jerry J Sullivan, MD is a Family Medicine physician based in Springfield, Virginia. Jerry J Sullivan is licensed to practice in Virginia (license number 0101243402) and his current practice location is 6501 Loisdale Ct, Springfield, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 922-1000.

NPI number for Jerry J Sullivan is 1306998406 and his current mailing address is 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306998406.

Contact Information

Jerry J Sullivan, MD
6501 Loisdale Ct,
Springfield, VA 22150-1826
(703) 922-1000
(703) 922-1039



Physician's Profile

Full NameJerry J Sullivan
GenderMale
SpecialityFamily Medicine
Location6501 Loisdale Ct, Springfield, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306998406
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 11/22/2011

Medical Identifiers

Medical identifiers for Jerry J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306998406NPI-NPPES
8103087MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD00017070 (Washington)Secondary
207Q00000XFamily Medicine 0101243402 (Virginia)Primary
207Q00000XFamily Medicine D0071387 (Maryland)Secondary
207Q00000XFamily Medicine MD039385 (District Of Columbia)Secondary

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. Jerry J 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 AddressPractice Location Address
Jerry J Sullivan, MD
2101 E Jefferson St, Kaiser Permanente Medicare Enrollment,
Rockville, MD 20852-4908

Ph: (301) 816-2424
Jerry J Sullivan, MD
6501 Loisdale Ct,
Springfield, VA 22150-1826

Ph: (703) 922-1000

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› Verified 4 days ago


Family Medicine Doctors in Springfield, VA

Meredith Lynn Porter, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6230 Rolling Rd Ste J, Springfield, VA 22152
Phone: 571-665-6460    Fax: 571-665-6461
Dr. Sonya Nadine Bethel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7440 Spring Village Dr, Springfield, VA 22150
Phone: 703-923-4644    Fax: 703-923-4625
Dr. Sally R Hayes, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6230 Rolling Rd Ste Iandj, Springfield, VA 22152
Phone: 571-665-6460    Fax: 571-565-6561
Jeffrey K Nekoba, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7489 Huntsman Blvd, Springfield, VA 22153
Phone: 571-642-1460    Fax: 703-440-1203
Dr. Farah Saeed, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150
Phone: 703-922-1000    
Dr. Priya Jagannathan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6501 Loisdale Ct, Springfield, VA 22150
Phone: 703-944-7662    
Mrs. Rebecca Mensah, FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8020 Pohick Rd, Springfield, VA 22153
Phone: 571-484-0443    

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