John M Sullivan, MD is a medicare enrolled "Surgery" physician in Ennis, Texas. His current practice location is
802 W Lampasas St, Ennis, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 878-4700.
John M Sullivan is licensed to practice in Texas (license number K5708) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336132117.
Physician's Profile
| Full Name | John M Sullivan |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 802 W Lampasas St, Ennis, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John M Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1336132117
- Provider Enumeration Date: 08/26/2005
- Last Update Date: 01/13/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for John M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336132117 | NPI | - | NPPES |
| 138206115 | Medicaid | TX | |
| 8A7520 | Other | TX | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | K5708 (Texas) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | K5708 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John M Sullivan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John M Sullivan, MD
802 W Lampasas St,
Ennis, TX 75119-4500
Ph: (972) 878-4700 | John M Sullivan, MD
802 W Lampasas St,
Ennis, TX 75119-4500
Ph: (972) 878-4700 |
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