| Dr Dennis J Sullivan, MD | |
|
55 Main St., Suite 2, Bridgton, ME 04009 | |
| (207) 647-3633 | |
| (207) 647-5633 |
| Full Name | Dr Dennis J Sullivan |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 47 Years |
| Location | 55 Main St., Bridgton, Maine |
| 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 |
|---|---|---|---|
| 1497770853 | NPI | - | NPPES |
| 105900000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 011964 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgton Hospital | Bridgton, ME | Hospital |
| Rumford Hospital | Rumford, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bridgton Hospital | 8123919099 | 20 |
| Entity Name | Bridgton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Entity Name | Rumford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
| Entity Name | Dennis J Sullivan, M.d., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780846675 PECOS PAC ID: 7618044355 Enrollment ID: O20080923000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dennis J Sullivan, MD Po Box 658, Bridgton, ME 04009 Ph: (207) 647-3633 | Dr Dennis J Sullivan, MD 55 Main St., Suite 2, Bridgton, ME 04009 Ph: (207) 647-3633 |
James Frenette, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 25 Hospital Dr, Bridgton, ME 04009 Phone: 207-795-5709 |