| Michael A Sullivan, PA | |
|
3414 Golden Rd, Tyler, TX 75701-8336 | |
| (903) 939-7500 | |
| (903) 939-7725 |
| Full Name | Michael A Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 3414 Golden Rd, Tyler, 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 |
|---|---|---|---|
| 1568418242 | NPI | - | NPPES |
| 187611201 | Medicaid | TX | |
| 8X7926 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | Hospital |
| Baylor Scott & White Institute For Rehabilitation | Dallas, TX | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2535 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Sullivan, PA 3414 Golden Rd, Tyler, TX 75701-8336 Ph: (903) 939-7500 | Michael A Sullivan, PA 3414 Golden Rd, Tyler, TX 75701-8336 Ph: (903) 939-7500 |
David Robert Dewalch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701 Phone: 903-596-3488 |
Anna Beth Willits, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3414 Golden Rd Apt B, Tyler, TX 75701 Phone: 325-665-8276 |
Mrs. Dawn Elise O'neal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701 Phone: 903-531-8950 |
Charles Crowell Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave Ste 305, Tyler, TX 75701 Phone: 903-606-1173 |
Matthew Tassinari, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2208 Three Lakes Pkwy Ste 200, Tyler, TX 75703 Phone: 903-596-3844 Fax: 903-596-3843 |
Jordan Fayth Cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8101 S Broadway Ave, Tyler, TX 75703 Phone: 903-939-7500 Fax: 903-939-7728 |
Mrs. Megan Renee Followwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5777 New Copeland Rd, Tyler, TX 75703 Phone: 903-561-9255 |