Andrew Sullivan, PA-C is a medicare enrolled "Physician Assistant" in Lamoni, Iowa. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Infinity Health and his current practice location is
802 Ackerly St, Lamoni, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 784-7911.
Andrew Sullivan is licensed to practice in Iowa (license number 1127604) 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 1780067678.
Provider's Profile
| Full Name | Andrew Sullivan |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 802 Ackerly St, Lamoni, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Andrew Sullivan graduated from nursing school in 2015
NPI Data:
- NPI Number: 1780067678
- Provider Enumeration Date: 07/09/2015
- Last Update Date: 07/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 0244546760
- Enrollment ID: I20150828002140
Medical Identifiers
Medical identifiers for Andrew Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780067678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1127604 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Infinity Health | 5597717496 | 15 |
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. Andrew 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 |
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Andrew Sullivan, PA-C
302 Ne 14th St,
Leon, IA 50144-1206
Ph: (641) 446-2383 | Andrew Sullivan, PA-C
802 Ackerly St,
Lamoni, IA 50140-1544
Ph: (641) 784-7911 |
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