Sullivan Md Pllc in Sierra Vista, AZ - Medicare Clinic/Center

Sullivan Md Pllc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Sierra Vista, Arizona. The current practice location for Sullivan Md Pllc is 5100 E Hwy 90, Suite B, Sierra Vista, Arizona. For appointments, you can reach them via phone at (520) 417-9727. The mailing address for Sullivan Md Pllc is 5100 E. Hwy. 90, Suite B, Sierra Vista, Arizona and phone number is (520) 417-9727.

Sullivan Md Pllc is licensed to practice in Arizona (license number 22176). The clinic also participates in the medicare program and its NPI number is 1851531933. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (520) 417-9727.

Contact Information

	Sullivan Md Pllc
	5100 E Hwy 90 Suite B Sierra Vista AZ 85635-2443
	(520) 417-9727
	(520) 417-9733

Map and Direction

Mental Health Clinic Profile

Full Name	Sullivan Md Pllc
Speciality	Clinic/Center
Location	5100 E Hwy 90, Sierra Vista, Arizona
Authorized Official Name and Position	William Robert Sullivan (PRESIDENT)
Authorized Official Contact	5204179729
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sullivan Md Pllc 5100 E. Hwy. 90 Suite B Sierra Vista AZ 85635 Ph: (520) 417-9727	Sullivan Md Pllc 5100 E Hwy 90 Suite B Sierra Vista AZ 85635-2443 Ph: (520) 417-9727

NPI Details:

NPI Number	1851531933
Provider Enumeration Date	03/02/2009
Last Update Date	03/25/2009

Medicare PECOS Information:

Medicare PECOS PAC ID	0042377269
Medicare Enrollment ID	O20090316000131

Medical Identifiers

Medical identifiers for Sullivan Md Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851531933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	22176 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sullivan Md Pllc acts as a billing entity for following providers:

Provider Name	William R Sullivan
Provider Type	Practitioner - Psychiatry
Provider Identifiers	NPI Number: 1154483477 PECOS PAC ID: 4183605884 Enrollment ID: I20040527001276

Reviews and Comments

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Sullivan Md Pllc - Medicare Mental Health Clinic in Sierra Vista, AZ