John L Sullivan, PAC in Dover, DE - Medicare Physician Assistant

John L Sullivan, PAC is a medicare enrolled "Physician Assistant" in Dover, Delaware. His current practice location is 540 S Governors Ave, Suite 101a, Dover, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 744-7980.

John L Sullivan is licensed to practice in Delaware (license number C50000356) 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 1548249477.

Contact Information

	John L Sullivan, PAC
	540 S Governors Ave, Suite 101a, Dover, DE 19904-3530
	(302) 744-7980
	(302) 744-7989

Provider's Profile

Full Name	John L Sullivan
Gender	Male
Speciality	Physician Assistant
Location	540 S Governors Ave, Dover, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548249477
Provider Enumeration Date: 01/10/2006
Last Update Date: 08/07/2014

Medicare PECOS Information:

PECOS PAC ID: 7719960889
Enrollment ID: I20040609001515

Medical Identifiers

Medical identifiers for John L Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548249477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C50000356 (Delaware)	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. John L 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
John L Sullivan, PAC 640 S State St, Finance, Dover, DE 19901-3530 Ph: (302) 674-4700	John L Sullivan, PAC 540 S Governors Ave, Suite 101a, Dover, DE 19904-3530 Ph: (302) 744-7980

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Physician Assistant Nurses in Dover, DE

Gabriella Lynn Malacari, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Banning St, Dover, DE 19904 Phone: 302-744-9645
Ms. Erin Chudzik-pryor, MSN, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 125 Greentree Dr # 1, Dover, DE 19904 Phone: 302-678-8333 Fax: 302-678-1765
Mrs. Shadrienne Nikeia Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 748 S New St, Suites C & D, Dover, DE 19904 Phone: 302-734-3227 Fax: 303-734-0391
Mrs. Nicole A Fisher, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 540 S Governors Ave, Ste100a, Dover, DE 19904 Phone: 302-674-0600 Fax: 302-672-7144
Todd A Brandt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 S. State Street, Mail Code 3055, Dover, DE 19901 Phone: 302-480-1688 Fax: 302-480-9807
Volha Stepanovna Komar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 540 S Governors Ave Ste 100, Dover, DE 19904 Phone: 302-526-1470 Fax: 302-674-1398
Jade-lyn Gray, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-744-6156 Fax: 302-735-3845

John L Sullivan, PAC - Medicare Physician Assistant in Dover, DE