| Alex Brennan Sullivan, | |
|
111 S Front St, Harrisburg, PA 17101-2010 | |
| (717) 782-3282 | |
| Not Available |
| Full Name | Alex Brennan Sullivan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 111 S Front St, Harrisburg, Pennsylvania |
| 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 |
|---|---|---|---|
| 1275113334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN682784 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN682784 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upmc Pinnacle Anesthesia Services Llc | 1951662980 | 145 |
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | Capital Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447210737 PECOS PAC ID: 9032188610 Enrollment ID: O20040930000090 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Entity Name | Upmc Pinnacle Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730693979 PECOS PAC ID: 1951662980 Enrollment ID: O20180307001977 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Brennan Sullivan, 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-3282 | Alex Brennan Sullivan, 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-3282 |
Mrs. Holly Ann Maley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Wendy Biedrzycki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Ms. Alicia K Stidfole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Ashlee A Wheeler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4310 Londonderry Rd Suite 1, Harrisburg, PA 17109 Phone: 717-782-5118 Fax: 717-782-5854 | |
Patrick Dougherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Diane E Geise, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5470 Fax: 717-782-5820 | |
Jessica E Rybinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8919 |