| Dr Scott J Sullivan, MD | |
|
49 Lake Ave, Greenwich, CT 06830-4501 | |
| (203) 869-6220 | |
| (203) 869-2672 |
| Full Name | Dr Scott J Sullivan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 49 Lake Ave, Greenwich, Connecticut |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790733822 | NPI | - | NPPES |
| 001390012 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 039001 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greenwich Hospital Association - | Greenwich, CT | Hospital |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| St Marys Medical Center | Grand junction, CO | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Tristar Skyline Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Specialists Ltd Marasso-miller | 0143110874 | 84 |
| Roseburg Radiologists Pc | 0446246003 | 42 |
| West Florida Radiology Associates Pa | 0941224612 | 32 |
| Advanced Radiology P A | 1254327950 | 144 |
| Red River Consultants Inc | 1355303363 | 56 |
| Radiology Alliance Pc | 1850280470 | 301 |
| Crouse Radiology Associates Llp | 1850387648 | 112 |
| Beloit Radiology Ltd | 3274559711 | 41 |
| Radiology Associates Of Muncie Inc | 3577476100 | 48 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Rochester General Hospital | 8224036835 | 21 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| The Unity Hospital Of Rochester | 9436060969 | 637 |
| Greenwich Radiological Group Pc | 9436170263 | 11 |
| Entity Name | Greenwich Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932167830 PECOS PAC ID: 9436170263 Enrollment ID: O20051208000517 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20070918000515 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20120718000395 |
| Entity Name | Steuben Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679536411 PECOS PAC ID: 2961416946 Enrollment ID: O20150611002081 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20160920002377 |
| Entity Name | Red River Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20170926002608 |
| Entity Name | Advanced Radiology P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932167178 PECOS PAC ID: 1254327950 Enrollment ID: O20180330000476 |
| Entity Name | Shelin Agrawal And Hyer Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861783961 PECOS PAC ID: 5890955959 Enrollment ID: O20180510001603 |
| Entity Name | Synergy Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802986 PECOS PAC ID: 7719877737 Enrollment ID: O20190102001491 |
| Entity Name | West Florida Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396724654 PECOS PAC ID: 0941224612 Enrollment ID: O20190319000910 |
| Entity Name | Baker Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396807319 PECOS PAC ID: 3779689807 Enrollment ID: O20190829000103 |
| Entity Name | Radiology Specialists Ltd Marasso-miller |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196979 PECOS PAC ID: 0143110874 Enrollment ID: O20190919003090 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619221686 PECOS PAC ID: 8224282926 Enrollment ID: O20210125002297 |
| Entity Name | The Unity Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457395766 PECOS PAC ID: 9436060969 Enrollment ID: O20210324000800 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20220223002426 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20220509000584 |
| Entity Name | Roseburg Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700876117 PECOS PAC ID: 0446246003 Enrollment ID: O20220601002565 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255360517 PECOS PAC ID: 8224036835 Enrollment ID: O20230509001737 |
| Entity Name | Crouse Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447244587 PECOS PAC ID: 1850387648 Enrollment ID: O20230607001537 |
| Entity Name | Beloit Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386661734 PECOS PAC ID: 3274559711 Enrollment ID: O20240603002598 |
| Entity Name | Radiology Associates Of Muncie Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306883251 PECOS PAC ID: 3577476100 Enrollment ID: O20240814004185 |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427870070 PECOS PAC ID: 7810805280 Enrollment ID: O20250212000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott J Sullivan, MD 49 Lake Ave, Greenwich, CT 06830-4501 Ph: (203) 861-2381 | Dr Scott J Sullivan, MD 49 Lake Ave, Greenwich, CT 06830-4501 Ph: (203) 869-6220 |
Dr. Marie Yanez, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 25 Glen Ridge Rd # 31155, Greenwich, CT 06831 Phone: 312-286-5360 Fax: 866-416-4228 | |
Dr. David D Evans, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 49 Lake Ave, Greenwich, CT 06830 Phone: 203-861-2381 Fax: 203-983-3318 | |
Dr. Erez Salik, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 49 Lake Ave, Greenwich, CT 06830 Phone: 203-861-2381 Fax: 203-983-3318 | |
Dr. Ann C Cea, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 244 Byram Shore Rd, Greenwich, CT 06830 Phone: 203-531-4633 Fax: 203-531-4716 | |
Dr. Kapil Rajendra Desai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 49 Lake Ave, Greenwich, CT 06830 Phone: 203-861-2381 | |
Dr. Collin Randall Edwards, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Perryridge Rd, Greenwich, CT 06830 Phone: 203-863-3409 | |
Ashwatha Narayana, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 Lafayette Pl, Greenwich, CT 06830 Phone: 203-863-3773 Fax: 293-863-3723 |