| Dr Patrick Sean Sullivan, MD | |
|
1364 Clifton Rd Ne, Atlanta, GA 30322-0001 | |
| (404) 686-1000 | |
| Not Available |
| Full Name | Dr Patrick Sean Sullivan |
|---|---|
| Gender | Male |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 21 Years |
| Location | 1364 Clifton Rd Ne, Atlanta, Georgia |
| 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 |
|---|---|---|---|
| 1790969780 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 001510 (Georgia) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 53485 (Minnesota) | Primary |
| 208C00000X | Colon & Rectal Surgery | 104964 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Accentcare Home Health Of Georgia | Roswell, GA | Home health agency |
| Emory University Hospital | Atlanta, GA | Hospital |
| Emory University Hospital Midtown | Atlanta, GA | Hospital |
| Emory Johns Creek Hospital | Johns creek, GA | Hospital |
| Saint Joseph's Hospital Of Atlanta, Inc | Atlanta, GA | Hospital |
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3507 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Sean Sullivan, MD 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 Ph: (404) 686-1000 | Dr Patrick Sean Sullivan, MD 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 Ph: (404) 686-1000 |