| Dr Michael John Sullivan, MD | |
|
609 O St, Aurora, NE 68818-1100 | |
| (402) 694-3171 | |
| (402) 694-2146 |
| Full Name | Dr Michael John Sullivan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 609 O St, Aurora, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528076197 | NPI | - | NPPES |
| 0561 | Other | NE | BCBS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16840 (Nebraska) | Primary |
| Entity Name | Memorial Community Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881603850 PECOS PAC ID: 1355394040 Enrollment ID: O20100213000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael John Sullivan, MD 609 O St, Aurora, NE 68818-1100 Ph: (402) 694-3171 | Dr Michael John Sullivan, MD 609 O St, Aurora, NE 68818-1100 Ph: (402) 694-3171 |
Dr. John Clark Wilcox, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 | |
Dr. Mark David Jobman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 | |
Dr. Jeffrey John Muilenburg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 | |
Alexis R. Erbst, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 | |
Dr. Timothy James Widhalm, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 | |
Jennifer C Harney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 | |
Dr. Scott Roger Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 |