Thomas Dennis Sullivan, MD in Alpharetta, GA - Medicare Pediatrics

Thomas Dennis Sullivan, MD is a medicare enrolled "Pediatrics" physician in Alpharetta, Georgia. His current practice location is 3795 Mansell Rd, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 785-8540.

Thomas Dennis Sullivan is licensed to practice in Georgia (license number 15512) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104872001.

Contact Information

	Thomas Dennis Sullivan, MD
	3795 Mansell Rd, Alpharetta, GA 30022-8247
	(404) 785-8540
	(404) 785-8574

Physician's Profile

Full Name	Thomas Dennis Sullivan
Gender	Male
Speciality	Pediatrics
Location	3795 Mansell Rd, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104872001
Provider Enumeration Date: 05/25/2006
Last Update Date: 12/10/2013

Medicare PECOS Information:

PECOS PAC ID: 4880984145
Enrollment ID: I20160527001867

Medical Identifiers

Medical identifiers for Thomas Dennis Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104872001	NPI	-	NPPES
000971132	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	15512 (Georgia)	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. Thomas Dennis 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
Thomas Dennis Sullivan, MD 5318 Trowbridge Dr, Atlanta, GA 30338-3623 Ph: (770) 671-8349	Thomas Dennis Sullivan, MD 3795 Mansell Rd, Alpharetta, GA 30022-8247 Ph: (404) 785-8540

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Pediatrics Doctors in Alpharetta, GA

Dr. Margaret Fox Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3550 Preston Ridge Rd, Kaiser Permenente Alpharetta Medical Office, Alpharetta, GA 30005 Phone: 404-365-0966 Fax: 770-772-6099
Mrs. Sandra S Zehnder, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3005 Royal Blvd S, Suite 110, Alpharetta, GA 30022 Phone: 770-442-5437 Fax: 770-664-7836
Gabraella Drake-forte, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400-c Old Milton Pkwy, Ste 490, Alpharetta, GA 30005 Phone: 678-297-0070 Fax: 678-297-0073
Reanne Parrenas Stephansson, M.D.F.A.A.P Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11975 Morris Road, Ste 210, Alpharetta, GA 30005 Phone: 770-664-0088 Fax: 770-664-8228
Dr. Thomas John Steimer Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3550 Preston Ridge Rd, Pediatrics Health Care Team A, Alpharetta, GA 30005 Phone: 770-663-3303 Fax: 770-663-3200
Mrs. Danelle Phelps Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3180 North Point Pkwy, Suite 410, Alpharetta, GA 30005 Phone: 770-664-0088 Fax: 770-664-8228
Dr. Larue D Penny Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy, Suite 330/bldg A, Alpharetta, GA 30005 Phone: 770-751-6111

Thomas Dennis Sullivan, MD - Medicare Pediatrics in Alpharetta, GA