| Dr Grant Joseph Sullivan, DO | |
|
2720 Sunset Blvd, West Columbia, SC 29169 | |
| (803) 791-2480 | |
| (803) 935-4102 |
| Full Name | Dr Grant Joseph Sullivan |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 19 Years |
| Location | 2720 Sunset Blvd, West Columbia, South Carolina |
| 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 |
|---|---|---|---|
| 1215115969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36082 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 36082 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lexington Health Inc | 2567872070 | 824 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grant Joseph Sullivan, DO Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Dr Grant Joseph Sullivan, DO 2720 Sunset Blvd, West Columbia, SC 29169 Ph: (803) 791-2480 |
Nathan Andrew Kerr, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 Fax: 803-936-4102 | |
Stephenson Coe Hudson, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 Fax: 803-936-4102 | |
Arjun Athreya, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 | |
Devon Best, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 Fax: 803-936-4102 | |
Dr. Anthony Chi Zamcho, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 Fax: 803-936-4102 | |
Abdullah A Baosman, DO Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-936-7372 | |
Avnik Kirit Patidar, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 145 Sunset Ct Ste 100&201, West Columbia, SC 29169 Phone: 803-739-3550 Fax: 803-739-3546 |