Cory R Sullins, PHD in Crescent City, CA - Medicare Clinical Psychologist Provider

Cory R Sullins, PHD is a medicare enrolled "Psychologist - Clinical" provider in Crescent City, California. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1305 Northcrest Dr Ste 2, Crescent City, California. You can reach out to his office (for appointments etc.) via phone at (310) 901-1996.

Cory R Sullins is licensed to practice in California (license number 32846) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275203440.

Contact Information

	Cory R Sullins, PHD
	1305 Northcrest Dr Ste 2, Crescent City, CA 95531-2322
	(310) 901-1996
	(707) 306-7255

Healthcare Provider's Profile

Full Name	Cory R Sullins
Gender	Male
Speciality	Clinical Psychologist
Experience	5 Years
Location	1305 Northcrest Dr Ste 2, Crescent City, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cory R Sullins graduated from medical school in 2019

NPI Data:

NPI Number: 1275203440
Provider Enumeration Date: 09/17/2021
Last Update Date: 09/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4688829799
Enrollment ID: I20210922000979

Medical Identifiers

Medical identifiers for Cory R Sullins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275203440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32846 (California)	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. Cory R Sullins 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
Cory R Sullins, PHD 3319 Alameda St, Medford, OR 97504-9635 Ph: (310) 901-1996	Cory R Sullins, PHD 1305 Northcrest Dr Ste 2, Crescent City, CA 95531-2322 Ph: (310) 901-1996

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Psychologist in Crescent City, CA

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Dr. Kimel A. Limon, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 H St, Ste 1n, Crescent City, CA 95531 Phone: 541-254-0941 Fax: 707-812-6106
Robert Bernard Levine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000 Fax: 707-465-9193
Dr. Paul Clyde Butler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 159 Starfish Way, Crescent City, CA 95531 Phone: 707-465-1000
Dr. Regina H Rushe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000 Fax: 707-465-9107
Dr. Christy Eileen Emrich, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000
Dr. Elli Kimbauer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1080 Mason Mall, 6a, Crescent City, CA 95531 Phone: 707-464-7662 Fax: 707-464-7864

Cory R Sullins, PHD - Medicare Psychologist in Crescent City, CA