| Patrick Sullivan, MD | |
|
235 Plain St, Providence, RI 02905-3240 | |
| (401) 831-8300 | |
| Not Available |
| Full Name | Patrick Sullivan |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 235 Plain St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659345015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | MD06895 (Rhode Island) | Primary |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Sullivan, MD 235 Plain St, Providence, RI 02905-3243 Ph: (401) 831-8300 | Patrick Sullivan, MD 235 Plain St, Providence, RI 02905-3240 Ph: (401) 831-8300 |
Rachel Aileen Sullivan, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Plain St Ste 203, Providence, RI 02905 Phone: 401-649-4901 Fax: 401-649-4903 | |
James Weintrub, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 34 Barnes St, Providence, RI 02906 Phone: 401-274-2744 | |
Amy Claire Kite, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Plain St Ste 203, Providence, RI 02905 Phone: 401-444-2701 | |
Dr. Solomon Swartz, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4188 | |
Jonathan P Brower, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 235 Plain St Ste 202, Providence, RI 02905 Phone: 401-425-5232 Fax: 401-425-5334 | |
Richard J Zienowicz, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Ste 380, Providence, RI 02905 Phone: 401-453-0120 Fax: 401-453-0198 | |
Dr. Albert S Woo, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 335r Prairie Ave Ste 1a, Providence, RI 02905 Phone: 401-444-5685 |