| John K Sullivan, MD | |
|
76 Veterans Ave, Bath, NY 14810 | |
| (607) 664-4000 | |
| (607) 664-4791 |
| Full Name | John K Sullivan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 76 Veterans Ave, Bath, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235228743 | NPI | - | NPPES |
| J400006577 | Other | NY | PTAN-NORTH MEDICAL, PC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 166152 (New York) | Primary |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Newark Wayne Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
| Entity Name | Wellnow Urgent Care, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20170118001953 |
| Mailing Address | Practice Location Address |
|---|---|
| John K Sullivan, MD 418 N Main St, Penn Yan, NY 14527-1070 Ph: () - | John K Sullivan, MD 76 Veterans Ave, Bath, NY 14810 Ph: (607) 664-4000 |
Wayne Russell Sharaf, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7571 State Route 54, Bath, NY 14810 Phone: 607-776-8500 Fax: 607-776-8837 | |
Dr. Roger Waters, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7571 State Route 54, Bath, NY 14810 Phone: 585-247-6810 | |
Brian Edward Laux, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7571 State Route 54, Bath, NY 14810 Phone: 585-247-6810 Fax: 315-589-9406 | |
Dr. Marvin Maisonave, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7571 State Route 54, Bath, NY 14810 Phone: 315-589-9657 Fax: 315-589-9406 | |
Dr. Megan Elizabeth Meade, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7571 State Route 54, Bath, NY 14810 Phone: 607-776-8887 Fax: 607-776-8754 |