| Michael Patrick Sullivan, MD | |
|
1117 Spring St, Friday Harbor, WA 98250-9782 | |
| (360) 378-2141 | |
| (360) 378-3655 |
| Full Name | Michael Patrick Sullivan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1117 Spring St, Friday Harbor, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922037548 | NPI | - | NPPES |
| 7524SU | Other | WA | BSWA |
| 8182263 | Medicaid | WA | |
| 0168205 | Other | WA | LIWA |
| 0302692 | Other | WA | L&I AND CRIME VICTIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00033030 (Washington) | Primary |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508129842 PECOS PAC ID: 9335391044 Enrollment ID: O20130122000273 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447484274 PECOS PAC ID: 6608056171 Enrollment ID: O20130213000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Patrick Sullivan, MD Po Box 5096, Bellingham, WA 98227-5096 Ph: (360) 378-2141 | Michael Patrick Sullivan, MD 1117 Spring St, Friday Harbor, WA 98250-9782 Ph: (360) 378-2141 |
Douglas R Tuttle, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-3655 | |
Roy W. Graves, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-1788 | |
Loren Arthur Johnson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-3655 |