| Sean W Sullivan, DO | |
|
400 Medical Park Dr, Watervliet, MI 49098-9225 | |
| (269) 463-3600 | |
| Not Available |
| Full Name | Sean W Sullivan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 400 Medical Park Dr, Watervliet, Michigan |
| 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 |
|---|---|---|---|
| 1194762286 | NPI | - | NPPES |
| 4714970 | Medicaid | MI | |
| 4720636 | Medicaid | MI | |
| SS014473 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5101014473 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Community Hospital Watervliet | 7416942750 | 41 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean W Sullivan, DO 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: () - | Sean W Sullivan, DO 400 Medical Park Dr, Watervliet, MI 49098-9225 Ph: (269) 463-3600 |
Sarah L Thordarson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-2242 | |
Lindsey Catherine Healy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 | |
Dr. Celia Stenfors-dacre, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 |