| Dr Mary Anna Sullivan, MD | |
|
Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | |
| (781) 744-8869 | |
| Not Available |
| Full Name | Dr Mary Anna Sullivan |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | Lahey Clinic, Burlington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295759249 | NPI | - | NPPES |
| 3003582 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 49220 (Massachusetts) | Primary |
| Entity Name | Northeast Behavioral Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302586 PECOS PAC ID: 0446155808 Enrollment ID: O20100817000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Anna Sullivan, MD Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8869 | Dr Mary Anna Sullivan, MD Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8869 |
Dr. Matthew E Tilem, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5581 | |
Paul T Gross, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5243 | |
Azmin Kahriman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd Ste 7w, Burlington, MA 01805 Phone: 781-744-8630 Fax: 617-638-8465 | |
Benita Handa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8006 | |
Julie Rebecca Leegwater-kim, MD PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic - Dept Of Neurology, Burlington, MA 01805 Phone: 781-744-8000 | |
Jose A Gutrecht, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Lahey Clinic, 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8631 | |
Brianna Gutowski, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 |