| William J Sullivan, DO | |
|
608 Willard, Frontenac, KS 66763-2120 | |
| (620) 231-8849 | |
| (620) 231-8847 |
| Full Name | William J Sullivan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 608 Willard, Frontenac, Kansas |
| 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 |
|---|---|---|---|
| 1093805897 | NPI | - | NPPES |
| 200213791 | Other | KS | TRICARE |
| P00077657 | Other | KS | RR MEDICARE |
| 100234810D | Medicaid | KS | |
| 103449 | Other | KS | MEDICARE |
| 103449 | Other | KS | BCBS |
| 110994 | Other | KS | MEDICARE |
| 110994 | Other | KS | GROUP BCBS |
| 189381 | Other | KS | COVENTRY |
| DA9115 | Other | KS | GRP RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 05-25406 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health | Chanute, KS | Home health agency |
| Ascension At Home | Pittsburg, KS | Home health agency |
| Harry Hynes Memorial Hospice | Wichita, KS | Hospice |
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| Mercy Hospital Pittsburg, Inc | Pittsburg, KS | Hospital |
| Girard Medical Center | Girard, KS | Hospital |
| Cox Barton County Hospital | Lamar, MO | Hospital |
| Arma Operator, Llc | Arma, KS | Nursing home |
| Galena Nursing & Rehab Center | Galena, KS | Nursing home |
| Via Christi Village Pittsburg | Pittsburg, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Kc | 0143116368 | 166 |
| Freeman-oak Hill Health System | 8325942253 | 385 |
| Entity Name | Ascension Via Christi Hospital Pittsburg, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760408975 PECOS PAC ID: 0547171670 Enrollment ID: O20031105000718 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20031215000534 |
| Mailing Address | Practice Location Address |
|---|---|
| William J Sullivan, DO Po Box 1023, Frontenac, KS 66763-1023 Ph: (620) 231-8849 | William J Sullivan, DO 608 Willard, Frontenac, KS 66763-2120 Ph: (620) 231-8849 |