| Mr Michael Sean Sullivan, RPA-C | |
|
259 1st St, Mineola, NY 11501-3957 | |
| (516) 663-8312 | |
| Not Available |
| Full Name | Mr Michael Sean Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 259 1st St, Mineola, New York |
| 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 |
|---|---|---|---|
| 1255567871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 012773-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital, Roslyn | Roslyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Physician Partners Pc | 7618955667 | 739 |
| Entity Name | Optum Medical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Chs Physician Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407089345 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Sean Sullivan, RPA-C 700 Hicksville Rd, Suite 204, Bethpage, NY 11714-3471 Ph: Not Available | Mr Michael Sean Sullivan, RPA-C 259 1st St, Mineola, NY 11501-3957 Ph: (516) 663-8312 |
Gina Carucci, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 |
Mr. James Valloor, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 Wilson Blvd, Mineola, NY 11501 Phone: 516-395-4229 |
Monica Da Silva Oliveira, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Old Country Rd, Mineola, NY 11501 Phone: 516-877-0977 |
Charles Summers, CHARLES SUMMERS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 Fax: 516-663-2184 |
Miss Michele White, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2337 |
Aimee Hsu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 |
Kasey Lorraine Innamorato, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-9734 |