Jon M Sullivan, MD in Gallipolis, OH

Jon M Sullivan, MD is a medicare enrolled "Pediatrics" physician in Gallipolis, Ohio. His current practice location is 100 Jackson Pike, Gallipolis, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 446-5371.

Jon M Sullivan is licensed to practice in Ohio (license number 35-05-4754) 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 1053341370.

Contact Information

	Jon M Sullivan, MD
	100 Jackson Pike, Gallipolis, OH 45631-1560
	(740) 446-5371
	(740) 446-5711

Map and Direction

Physician's Profile

Full Name	Jon M Sullivan
Gender	Male
Speciality
Experience	Years
Location	100 Jackson Pike, Gallipolis, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jon M Sullivan attended and graduated from in

NPI Data:

NPI Number: 1053341370
Provider Enumeration Date: 07/03/2006
Last Update Date: 12/29/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jon M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053341370	NPI	-	NPPES
000000181879	Other	OH	UNISON MEDICAID #
001714064	Other		MOUNTAIN STATE BCBS
0882719	Other	OH	MOLINA MEDICAID #
000000006810	Other	WV	ANTHEM BCBS
370002760	Other	OH	RR MEDICARE
000000007592	Other		ANTHEM BCBS
0107833000	Medicaid	WV
0882719	Medicaid	OH
310917085065	Other	OH	CARESOURCE MEDICAID #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	16987 (West Virginia)	Secondary
208000000X	Pediatrics	35-05-4754 (Ohio)	Primary

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. Jon 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
Jon M Sullivan, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371	Jon M Sullivan, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371

Reviews and Comments

Pediatrics Doctors in Gallipolis, OH

Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711
Marina D. Burgess, FNP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937
Mr. Jacob Lawrence Pessia, MS IV Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982
Shana Allie Vore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711
Pradeep K. Kandula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711

Jon M Sullivan, MD - Medicare in Gallipolis, OH