| Emma Sullivan, | |
|
36 1st Ave, Charlestown, MA 02129-4557 | |
| (954) 873-4998 | |
| Not Available |
| Full Name | Emma Sullivan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 36 1st Ave, Charlestown, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881223410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA7733 (Massachusetts) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Milford Regional Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856024 PECOS PAC ID: 5597679449 Enrollment ID: O20040503001341 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Sullivan, 36 1st Ave, Charlestown, MA 02129-4557 Ph: (954) 873-4998 | Emma Sullivan, 36 1st Ave, Charlestown, MA 02129-4557 Ph: (954) 873-4998 |
Ladan Hakimjavadi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36 1st Ave, Charlestown, MA 02129 Phone: 617-726-2947 |
Harout Chouljian, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 36 1st Ave, Charlestown, MA 02129 Phone: 617-726-2947 |
Kaitlyn Flanagan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 Main St Apt 2, Charlestown, MA 02129 Phone: 508-254-1543 |
Nicole Lee Pomeroy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 529 Main St, Charlestown, MA 02129 Phone: 617-600-3195 |
Ashley Gosnell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 32 Cambridge St Apt 1105, Charlestown, MA 02129 Phone: 843-819-9424 |
Mollie Mikulski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 103 13th St Apt 201, Charlestown, MA 02129 Phone: 617-480-0260 |
Alexandra Masullo, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7 Church Ct Unit 2, Charlestown, MA 02129 Phone: 203-942-4817 |