| Dr Brian J Sullivan, MD | |
|
1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | |
| (410) 266-2720 | |
| (410) 244-0209 |
| Full Name | Dr Brian J Sullivan |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 10 Years |
| Location | 1000 Bestgate Rd Ste 400, Annapolis, Maryland |
| 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 |
|---|---|---|---|
| 1013915883 | NPI | - | NPPES |
| 76918803 | Other | BCBS | |
| W8490002 | Other | DC | BCBS |
| 3550284 | Other | AETNA | |
| 76918806 | Other | MD | BCBS |
| 471782 | Other | MAMSI | |
| 352303900 | Medicaid | MD | |
| 76918804 | Other | BCBS | |
| 76918807 | Other | MD | BCBS |
| 487760200 | Other | FEDERAL WORKMANS COMP | |
| J4570002 | Other | DC | BCBS |
| D3800006 | Other | DC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | D0050954 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 465 |
| Entity Name | Maryland Brain Spine & Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396713913 PECOS PAC ID: 7618963646 Enrollment ID: O20040423000629 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian J Sullivan, MD 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 Ph: (410) 266-2720 | Dr Brian J Sullivan, MD 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 Ph: (410) 266-2720 |
Dr. Agostino J Visioni, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Parkway, Suite 430, Annapolis, MD 21401 Phone: 410-266-2720 Fax: 410-224-0209 |