| Joseph C Sullivan Iii, MD | |
|
11375 Cortez Blvd, Brooksville, FL 34613-5409 | |
| (904) 236-5884 | |
| (904) 346-4334 |
| Full Name | Joseph C Sullivan Iii |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 11375 Cortez Blvd, Brooksville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043303548 | NPI | - | NPPES |
| 04923068 | Medicaid | MS | |
| 051543136 | Other | AL | BCBS |
| 051543144 | Other | AL | BCBS |
| 009942662 | Medicaid | AL | |
| 009942659 | Medicaid | AL | |
| 199147922A | Medicaid | GA | |
| 009942658 | Medicaid | AL | |
| 009942660 | Medicaid | AL | |
| 051543137 | Other | AL | BCBS |
| 051543142 | Other | AL | BCBS |
| P00406959 | Other | AL | RR MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| North Baldwin Infirmary | Bay minette, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alabama Coastal Radiology Pc | 7810914348 | 22 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Entity Name | Alabama Coastal Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093796781 PECOS PAC ID: 7810914348 Enrollment ID: O20051025000069 |
| 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: O20190729002602 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200921001684 |
| Entity Name | Tower Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20230815000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph C Sullivan Iii, MD Po Box 116700, Atlanta, GA 30368-6700 Ph: (904) 236-5884 | Joseph C Sullivan Iii, MD 11375 Cortez Blvd, Brooksville, FL 34613-5409 Ph: (904) 236-5884 |
Harvey N Esrov, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 813-920-5200 Fax: 813-920-5228 | |
Mr. Naveen Bikkasani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13470 Taft St, Brooksville, FL 34613 Phone: 352-597-0016 Fax: 352-597-0089 | |
Mr. Venkata Rao Emandi, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 14535 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-3622 Fax: 352-596-0901 | |
Dr. Raymond J Perez, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 813-890-8004 Fax: 727-518-0762 | |
Mr. John Meyer Iii, Radiology Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 904-399-5800 | |
Dr. Dalila Nieves-hossler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17240 Cortez Blvd, Brooksville, FL 34601 Phone: 352-796-5111 |