Jacob Sullivan, - Dentist in Kirtland Afb, NM

Jacob Sullivan, is a Dentist based in Kirtland Afb, New Mexico. Jacob Sullivan is licensed to practice in Arizona (license number D010709) and his current practice location is 2050a 2nd St Se, Kirtland Afb, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 846-3200.

NPI number for Jacob Sullivan is 1922633080 and his current mailing address is 2050a 2nd St Se, Kirtland Afb, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922633080.

Contact Information

Jacob Sullivan,
2050a 2nd St Se,
Kirtland Afb, NM 87117-5522
(505) 846-3200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacob Sullivan
GenderMale
SpecialityDentist
Location2050a 2nd St Se, Kirtland Afb, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922633080
  • Provider Enumeration Date: 03/10/2020
  • Last Update Date: 09/28/2021

Medical Identifiers

Medical identifiers for Jacob Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922633080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D010709 (Arizona)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. Jacob Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Sullivan,
2050a 2nd St Se,
Kirtland Afb, NM 87117-5901

Ph: () -
Jacob Sullivan,
2050a 2nd St Se,
Kirtland Afb, NM 87117-5522

Ph: (505) 846-3200

Reviews and Comments


Dentist in Kirtland Afb, NM

Dr. Lynn Michael Johnson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2050 2nd St Se, Kirtland Afb, NM 87117
Phone: 505-846-2466    
Christine L Zmuda,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117
Phone: 505-846-3200    
Satpal S Jutla, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117
Phone: 505-846-3200    
Ronald Nelson,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2050a Second Street Se, Kirtland Afb, NM 87117
Phone: 505-846-2607    
Dr. John Keith Paul Iii, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2050 A Second St. Se, 377 Mdg, Kirtland Afb, NM 87117
Phone: 505-846-3055    
Dr. Steven C. Fenzl, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 377 Dental Sq/sgd, 2050a 2nd St Se, Kirtland Afb, NM 87117
Phone: 505-846-2548    Fax: 505-846-2428
Dr. Joseph Sinibaldi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117
Phone: 505-846-3200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.