Christine Louise Sullivan, DC is a medicare enrolled "Chiropractor" provider in East Troy, Wisconsin. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
3161 Main St, East Troy, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 642-7404.
Christine Louise Sullivan is licensed to practice in Wisconsin (license number 3767012) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912975103.
Healthcare Provider's Profile
| Full Name | Christine Louise Sullivan |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 24 Years |
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| Location | 3161 Main St, East Troy, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christine Louise Sullivan graduated from medical school in 2000
NPI Data:
- NPI Number: 1912975103
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8224058433
- Enrollment ID: I20051202000425
Medical Identifiers
Medical identifiers for Christine Louise Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912975103 | NPI | - | NPPES |
| 38931300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3767012 (Wisconsin) | 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. Christine Louise 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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Christine Louise Sullivan, DC
Po Box 645,
East Troy, WI 58120-0645
Ph: (262) 642-7404 | Christine Louise Sullivan, DC
3161 Main St,
East Troy, WI 53120-1151
Ph: (262) 642-7404 |
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