| Len Sullivan, PA | |
|
305 Mallard Ln, Taylor, TX 76574-1208 | |
| (512) 352-7611 | |
| (512) 352-2196 |
| Full Name | Len Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 305 Mallard Ln, Taylor, Texas |
| 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 |
|---|---|---|---|
| 1326198110 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Plains Regional Medical Center | Clovis, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brazos Emergency Medicine Associates Pa | 3274005103 | 12 |
| Concord Medical Group Of Texas Pllc | 7810117223 | 319 |
| Entity Name | Scott & White Hospital - Taylor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659548568 PECOS PAC ID: 1456246750 Enrollment ID: O20040217000059 |
| Entity Name | Travis County Emergency Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Wise Emergency Medicine Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366558264 PECOS PAC ID: 2769449727 Enrollment ID: O20041213000078 |
| Entity Name | Texarkana Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871813345 PECOS PAC ID: 4486778669 Enrollment ID: O20100824001147 |
| Entity Name | Dimmit Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164774253 PECOS PAC ID: 0446385496 Enrollment ID: O20121129000364 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Longhorn Emergency Medical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Dimmit Regional Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326134255 PECOS PAC ID: 0446385496 Enrollment ID: O20161103000627 |
| Entity Name | Emergency Associates of Central Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215418280 PECOS PAC ID: 6800147216 Enrollment ID: O20180925001294 |
| Entity Name | Emergency Medicine Services of TX, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Entity Name | Lake Granbury Hospital-based Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689443467 PECOS PAC ID: 3971940966 Enrollment ID: O20240326003607 |
| Mailing Address | Practice Location Address |
|---|---|
| Len Sullivan, PA Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Len Sullivan, PA 305 Mallard Ln, Taylor, TX 76574-1208 Ph: (512) 352-7611 |
Sarai Albert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 512-352-7611 Fax: 512-352-4734 |
Christopher Van Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 512-352-7611 Fax: 512-352-4734 |
Steven R Fowler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Mallard Ln Ste A, Taylor, TX 76574 Phone: 737-270-7730 Fax: 737-270-7731 |
Samantha Anderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4306 Pinehurst Dr, Taylor, TX 76574 Phone: 210-867-0715 |
Kirsten Leigh Zarate, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 403 Mallard Ln, Taylor, TX 76574 Phone: 512-352-4000 |
Mr. Ismael Flecha Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 254-724-2111 |
Minh Ngo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 512-352-7611 |