David James Sullivan, PA-C - Physician Assistant in Raonoke, VA

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David James Sullivan, PA-C is a Physician Assistant - Surgical based in Raonoke, Virginia. David James Sullivan is licensed to practice in Virginia (license number 0110001586) and his current practice location is Carilion Memorial Hospital, Bellview And Jefferson Streets, Raonoke, Virginia. He can be reached at his office (for appointments etc.) via phone at (540) 981-8250.

NPI number for David James Sullivan is 1245281088 and his current mailing address is 6615 Circle View Dr, Roanoke, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245281088.

Contact Information

David James Sullivan, PA-C
Carilion Memorial Hospital, Bellview And Jefferson Streets,
Raonoke, VA 24014
(540) 981-8250
Not Available

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Provider's Profile

Full NameDavid James Sullivan
GenderMale
SpecialityPhysician Assistant - Surgical
LocationCarilion Memorial Hospital, Raonoke, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245281088
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 10/27/2008

Medical Identifiers

Medical identifiers for David James Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245281088NPI-NPPES
1245281088MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 0110001586 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David James Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David James Sullivan, PA-C
6615 Circle View Dr,
Roanoke, VA 24014-6601

Ph: (540) 776-2939		David James Sullivan, PA-C
Carilion Memorial Hospital, Bellview And Jefferson Streets,
Raonoke, VA 24014

Ph: (540) 981-8250

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