| Dr Paul S Sullivan, DO | |
|
345 N Main St, Suite 245, West Hartford, CT 06117-2515 | |
| (860) 236-3000 | |
| (860) 236-3002 |
| Full Name | Dr Paul S Sullivan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 345 N Main St, West Hartford, Connecticut |
| 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 |
|---|---|---|---|
| 1740200377 | NPI | - | NPPES |
| 001005273 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 000527 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
| Select Physical Therapy Of Connecticut Limited Partnership | 9638080625 | 16 |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul S Sullivan, DO 345 N Main St, Suite 245, West Hartford, CT 06117-2515 Ph: (860) 236-3000 | Dr Paul S Sullivan, DO 345 N Main St, Suite 245, West Hartford, CT 06117-2515 Ph: (860) 236-3000 |
Batel Heather Isenstein, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 136 S Main St Fl 2, West Hartford, CT 06107 Phone: 860-313-5150 Fax: 860-231-0255 | |
Sharon Stacy Farber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Abrahms Blvd, West Hartford, CT 06117 Phone: 860-523-3800 Fax: 860-523-3949 | |
Dr. Igor Samegulin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 74 Park Rd, West Hartford, CT 06119 Phone: 860-218-1725 Fax: 860-218-1727 | |
Mrs. Jennifer Lagosz Conboy, APRN FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1216 Farmington Ave, West Hartford, CT 06107 Phone: 860-561-1007 | |
Mojdeh Heidari, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Princeton St, West Hartford, CT 06110 Phone: 860-707-5392 | |
Dr. Jeffrey R Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 South Main Street, West Hartford, CT 06110 Phone: 860-561-7111 Fax: 860-561-7272 | |
Dr. Alberto J Rodriguez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 N Main St Ste 112, West Hartford, CT 06117 Phone: 860-296-4022 Fax: 860-236-3002 |