| Daniel L Sullivan, MD | |
|
600 East Blvd, Elkhart, IN 46514-2483 | |
| (574) 523-3160 | |
| Not Available |
| Full Name | Daniel L Sullivan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 600 East Blvd, Elkhart, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386612224 | NPI | - | NPPES |
| 100259050 | Medicaid | IN | |
| 010029958 | Other | IN | RAIL ROAD MEDICARE |
| 000000082211 | Other | IN | ANTHEM |
| 102668920 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 100259050 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L Sullivan, MD Po Box 1241, South Bend, IN 46624-1241 Ph: (855) 691-9888 | Daniel L Sullivan, MD 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 523-3160 |
Nicole S Brunette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-273-1137 |
Dr. Jenna Renee Nofziger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 |
Dr. Scott E Ludwig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-271-2558 |
Randall J Cammenga, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-523-3221 |
Doyle Yeager, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3160 |
John H. Vandergrift, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-273-1137 |
Dr. Quinn Andrew Stillson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1004 Parkway Ave Ste C, Elkhart, IN 46516 Phone: 574-294-1883 |