Lucille Martha Sullivan, PA-C is a
Physician Assistant based in Keyport, New Jersey. Lucille Martha Sullivan is licensed to practice in * (Not Available) (license number ) and her current practice location is
250 Maple Pl, Keyport, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 739-1400.
NPI number for Lucille Martha Sullivan is 1346834033 and her current mailing address is 250 Maple Pl, Keyport, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346834033.
Provider's Profile
| Full Name | Lucille Martha Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 250 Maple Pl, Keyport, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346834033
- Provider Enumeration Date: 02/24/2021
- Last Update Date: 03/20/2021
Medical Identifiers
Medical identifiers for Lucille Martha Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346834033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Lucille Martha 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 Address | Practice Location Address |
|---|
Lucille Martha Sullivan, PA-C
250 Maple Pl,
Keyport, NJ 07735-1144
Ph: () - | Lucille Martha Sullivan, PA-C
250 Maple Pl,
Keyport, NJ 07735-1144
Ph: (732) 739-1400 |
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