| Scott Sullivan, | |
|
3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | |
| (210) 916-4141 | |
| Not Available |
| Full Name | Scott Sullivan |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 14 Years |
| Location | 3551 Roger Brooke Dr, San Antonio, Texas |
| 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 |
|---|---|---|---|
| 1932467123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | S8254 (Texas) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 35.143461 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Santa Rosa Hospital-san Marcos | San marcos, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adena Medical Group Llc | 1153456579 | 384 |
| Central Texas Intensivists Pllc | 8921446345 | 20 |
| Entity Name | Adena Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Sullivan, 4305 N Mesa St Ste A, El Paso, TX 79902-1124 Ph: (915) 532-2477 | Scott Sullivan, 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (210) 916-4141 |
Dr. Dennis Anthony Ruff, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 |
Eduardo N. Pollono, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 |
Dr. John Gibbons Jordan Jr., M.D., M.P.H. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300 |
Zarema J Singson, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 |
Anas Mouchli, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # Mc7742, San Antonio, TX 78229 Phone: 210-567-5711 |
Sapna Raghunathan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 |
Dr. Jonathan Edward Slovik, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-8002 |