Jonathon C Sullum, MD - Radiology in Scranton, PA

Jonathon C Sullum, MD is a Radiology - Diagnostic Radiology physician based in Scranton, Pennsylvania. Jonathon C Sullum is licensed to practice in Pennsylvania (license number MD020198E) and his current practice location is 2601 Stafford Avenue, Scranton, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (570) 346-6633.

NPI number for Jonathon C Sullum is 1225041536 and his current mailing address is 2601 Stafford Avenue, Po Box 3305, Scranton, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225041536.

Contact Information

Jonathon C Sullum, MD
2601 Stafford Avenue,
Scranton, PA 18505-0305
(570) 346-6633
Not Available

Map and Direction




Physician's Profile

Full NameJonathon C Sullum
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2601 Stafford Avenue, Scranton, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225041536
  • Provider Enumeration Date: 08/15/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Jonathon C Sullum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225041536NPI-NPPES
000000083999OtherPATHREE RIVERS
300020246OtherPARAILROAD MEDICARE
0004210397OtherPA0004210397
0006585310012MedicaidPA
C31604OtherPABLUE CROSS
141629OtherPAHIGHMARK BLUE SHIELD
20007413OtherPAAMERIHEALTH MERCY
10624 1686OtherPAGEISINGER HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD020198E (Pennsylvania)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. Jonathon C Sullum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jonathon C Sullum, MD
2601 Stafford Avenue, Po Box 3305,
Scranton, PA 18505-0305

Ph: (570) 346-6633
Jonathon C Sullum, MD
2601 Stafford Avenue,
Scranton, PA 18505-0305

Ph: (570) 346-6633

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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