| Brian Thomas Sullivan, MD | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-7890 | |
| Not Available |
| Full Name | Brian Thomas Sullivan |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 7 Years |
| Location | 101 The City Dr S, Orange, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659869550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A203312 (California) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | A203312 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System-franciscan Medical Center Inc | La crosse, WI | Hospital |
| Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta | Sparta, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Wisconsin Region Inc | 0345152443 | 458 |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Thomas Sullivan, MD Uc Irvine Medical Center, 101 The City Drive South, Orange, CA 92868 Ph: (714) 456-7890 | Brian Thomas Sullivan, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-7890 |
Mr. Christian Edmond Awah, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1120 W La Veta Ave Ste 300, Orange, CA 92868 Phone: 714-598-1745 Fax: 714-941-9539 | |
John Anthony Schlechter, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1310 W Stewart Dr, Suite 508, Orange, CA 92868 Phone: 714-633-2111 Fax: 714-633-5615 | |
Dr. David John Wright, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S Bldg 29a, Orange, CA 92868 Phone: 714-456-7012 | |
Lisa Ann Cao, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1310 W Stewart Dr Ste 508, Orange, CA 92868 Phone: 714-633-2111 Fax: 844-387-7625 | |
Dr. Laura May Mourafetis, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Justin Haghverdian, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S Bldg 29a, Orange, CA 92868 Phone: 714-456-7012 | |
Pablo P Prietto, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 S Main St, Suite 200, Orange, CA 92868 Phone: 714-634-4567 Fax: 714-634-4569 |