| Melissa Sullivan, MD | |
|
7982 New Lagrange Road, Suite 3, Louisville, KY 40222 | |
| (502) 657-4551 | |
| (502) 919-9001 |
| Full Name | Melissa Sullivan |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7982 New Lagrange Road, Suite 3, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104211135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 52413 (Kentucky) | Primary |
| Entity Name | Seven Counties Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034 |
| Entity Name | Commonwealth Of Kentucky |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790816395 PECOS PAC ID: 9436122710 Enrollment ID: O20040816000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Sullivan, MD 7982 New Lagrange Road, Suite 3, Louisville, KY 40222 Ph: (502) 657-4551 | Melissa Sullivan, MD 7982 New Lagrange Road, Suite 3, Louisville, KY 40222 Ph: (502) 657-4551 |
Dr. Christopher R. Shafer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 510, Louisville, KY 40202 Phone: 502-588-4800 Fax: 502-588-4801 | |
David James Haustein, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way # 1200, Louisville, KY 40202 Phone: 502-584-3377 | |
Elizabeth B. Shelton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir, Ste 312, Louisville, KY 40207 Phone: 812-282-1888 Fax: 812-285-8392 | |
Manoocher Mofidi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2225 W Broadway, Louisville, KY 40211 Phone: 502-589-8600 Fax: 502-589-8771 | |
Dr. Steven B Lippmann, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 550 S Jackson St, Louisville, KY 40202 Phone: 502-852-1759 Fax: 502-852-5098 | |
Tanya Wozniak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4201 Springhurst Blvd Ste 203, Louisville, KY 40241 Phone: 502-425-6690 Fax: 502-890-2092 | |
Dr. Gary Fox, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3906 S Dupont Sq, Louisville, KY 40207 Phone: 502-895-8218 Fax: 502-895-8219 |