| Dr Brian P Sullivan, MD | |
|
135 Webster St, Hanover, MA 02339-1200 | |
| (781) 878-7020 | |
| (781) 871-3590 |
| Full Name | Dr Brian P Sullivan |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 37 Years |
| Location | 135 Webster St, Hanover, Massachusetts |
| 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 |
|---|---|---|---|
| 1699750265 | NPI | - | NPPES |
| 3183238 | Medicaid | MA | |
| 1025541 | Other | AETNA | |
| J12638 | Other | MA | BCBS |
| 13867 | Other | MA | HPHC |
| 139146 | Other | CIGNA | |
| 74990 | Other | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 74990 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham And Women's Hospital | Boston, MA | Hospital |
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor Medical Associates Inc | 2466356209 | 210 |
| Entity Name | Harbor Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079561 PECOS PAC ID: 2466356209 Enrollment ID: O20040719000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian P Sullivan, MD 4 Evergreen St, Hingham, MA 02043-1014 Ph: () - | Dr Brian P Sullivan, MD 135 Webster St, Hanover, MA 02339-1200 Ph: (781) 878-7020 |
Donne E Holden, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 135 Webster St, Hanover, MA 02339 Phone: 781-337-1518 Fax: 781-878-1569 | |
Dr. Paul W Keough, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 135 Webster St, Hanover, MA 02339 Phone: 781-878-7020 Fax: 781-871-3590 |