Cary Patrick Sullivan, DO is a medicare enrolled "Family Medicine" physician in Vian, Oklahoma. His current practice location is
128 W Main, Vian, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 773-5228.
Cary Patrick Sullivan is licensed to practice in Oklahoma (license number 2148) 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 1497701130.
Physician's Profile
| Full Name | Cary Patrick Sullivan |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 128 W Main, Vian, Oklahoma |
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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:
- Cary Patrick Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1497701130
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Cary Patrick Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497701130 | NPI | - | NPPES |
| 731153208003 | Other | OK | BLUE CROSS BLUE SHIELD |
| 100254810E | Medicaid | OK | |
| 100254810G | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2148 (Oklahoma) | 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. Cary Patrick 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 |
|---|
Cary Patrick Sullivan, DO
Po Box 446,
Vian, OK 74962-0446
Ph: (918) 773-5228 | Cary Patrick Sullivan, DO
128 W Main,
Vian, OK 74962-0446
Ph: (918) 773-5228 |
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