| Dr Colin A Sullivan, MD | |
|
6901 Simmons Loop, Riverview, FL 33578-9498 | |
| (813) 302-8000 | |
| (813) 874-5908 |
| Full Name | Dr Colin A Sullivan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 6901 Simmons Loop, Riverview, Florida |
| 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 |
|---|---|---|---|
| 1841619764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME130061 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medical Associates Of Tampa Bay Llc | 3678746674 | 84 |
| Observation Medical Group Llc | 3779872627 | 56 |
| Entity Name | Emergency Medical Associates Of Tampa Bay Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
| Entity Name | Observation Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colin A Sullivan, MD 2502 W Saint Isabel St Ste B, Tampa, FL 33607-6355 Ph: (813) 874-5707 | Dr Colin A Sullivan, MD 6901 Simmons Loop, Riverview, FL 33578-9498 Ph: (813) 302-8000 |
Lance Kreplick, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11339 Hawks Fern Dr, Riverview, FL 33569 Phone: 813-361-1096 | |
Dr. Janu Olivia Singh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 248-895-1052 | |
Heriberto Elizarraras, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10118 Gibsonton Dr, Riverview, FL 33578 Phone: 813-741-2592 | |
Abbas Sina, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12012 Boyette Rd., Riverview, FL 33569 Phone: 813-605-3900 | |
Dr. Lou E Romig, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4035 Crescent Park Dr, Riverview, FL 33578 Phone: 813-775-4030 |