Dr John Paul Sullivan, MD | |
4011 Gardiner Point Dr Ste 101, Louisville, KY 40213-1988 | |
(502) 451-5121 | |
(502) 451-5125 |
Full Name | Dr John Paul Sullivan |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 44 Years |
Location | 4011 Gardiner Point Dr Ste 101, Louisville, Kentucky |
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 |
---|---|---|---|
1356355531 | NPI | - | NPPES |
64217045 | Medicaid | KY | |
100012920A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | KY21704 (Kentucky) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | KY21704 (Kentucky) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sullivan Psychiatric Group, Pllc | 4486913530 | 2 |
Entity Name | Sullivan Psychiatric Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366879025 PECOS PAC ID: 4486913530 Enrollment ID: O20180117001656 |
Mailing Address | Practice Location Address |
---|---|
Dr John Paul Sullivan, MD 4011 Gardiner Point Dr Ste 101, Louisville, KY 40213-1988 Ph: (502) 451-5121 | Dr John Paul Sullivan, MD 4011 Gardiner Point Dr Ste 101, Louisville, KY 40213-1988 Ph: (502) 451-5121 |
Dr. Christopher R. Shafer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 510, Louisville, KY 40202 Phone: 502-588-4800 Fax: 502-588-4801 | |
David James Haustein, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way # 1200, Louisville, KY 40202 Phone: 502-584-3377 | |
Elizabeth B. Shelton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir, Ste 312, Louisville, KY 40207 Phone: 812-282-1888 Fax: 812-285-8392 | |
Manoocher Mofidi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2225 W Broadway, Louisville, KY 40211 Phone: 502-589-8600 Fax: 502-589-8771 | |
Dr. Steven B Lippmann, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 550 S Jackson St, Louisville, KY 40202 Phone: 502-852-1759 Fax: 502-852-5098 | |
Tanya Wozniak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4201 Springhurst Blvd Ste 203, Louisville, KY 40241 Phone: 502-425-6690 Fax: 502-890-2092 | |
Dr. Gary Fox, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3906 S Dupont Sq, Louisville, KY 40207 Phone: 502-895-8218 Fax: 502-895-8219 |