| Dr Mark S Sullivan, MD | |
|
1234 Empire St, Fairfield, CA 94533-5711 | |
| (707) 426-3911 | |
| (707) 436-2511 |
| Full Name | Dr Mark S Sullivan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 1234 Empire St, Fairfield, California |
| 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 |
|---|---|---|---|
| 1871673723 | NPI | - | NPPES |
| 00A492060 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A49206 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Sutter Davis Hospital | Davis, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark S Sullivan, MD 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Dr Mark S Sullivan, MD 1234 Empire St, Fairfield, CA 94533-5711 Ph: (707) 426-3911 |
Michael Balbin Santos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-427-4900 Fax: 707-432-2533 | |
Joel E Herness, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3911 | |
Mary Moreno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5000 | |
Brett Rasmussen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3000 | |
Johanna M Cardoza, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Melissa G. Pearce, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2010 | |
Nicole D Arthur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-427-4900 |