| Dr Craig D Sullivan, MD | |
|
63 Crescent Ave, Green Mountain Family Practice, Northfield, VT 05663-5704 | |
| (802) 485-4161 | |
| (802) 485-4163 |
| Full Name | Dr Craig D Sullivan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 63 Crescent Ave, Northfield, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194701615 | NPI | - | NPPES |
| 0005680 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042-0007006 (Vermont) | Primary |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig D Sullivan, MD Po Box 547, Central Vermont Medical Center - Finance Dept, Barre, VT 05641-0547 Ph: (802) 485-4161 | Dr Craig D Sullivan, MD 63 Crescent Ave, Green Mountain Family Practice, Northfield, VT 05663-5704 Ph: (802) 485-4161 |
Dr. Matthew Dutton Sullivan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Paine Mountain Dr, Green Mountain Family Practice, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163 | |
Ana Burtnett, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 87 Paine Mountain Dr, Northfield, VT 05663 Phone: 802-485-4161 | |
Elizabeth Meehan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Paine Mountain Dr, Northfield, VT 05663 Phone: 802-485-4161 | |
Dr. Kevin Daniel Crowley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 63 Crescent Ave, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163 | |
Sarah Lynn Davies, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Crescent Ave, Green Mountain Family Practice, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163 | |
Deborah M O Hara, PA C Family Medicine Medicare: Medicare Enrolled Practice Location: 63 Crescent Ave, Green Mountain Family Practice, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163 |