Ms Cynthia Rowley-sullivan, PA is a
Physician Assistant based in Coal Valley, Illinois. Ms Cynthia Rowley-sullivan is licensed to practice in Illinois (license number 085002201) and her current practice location is
104 W 18th Ave, Coal Valley, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 799-7518.
NPI number for Ms Cynthia Rowley-sullivan is 1639142458 and her current mailing address is 104 W 18th Ave, Coal Valley, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639142458.
Provider's Profile
| Full Name | Ms Cynthia Rowley-sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 104 W 18th Ave, Coal Valley, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639142458
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 01/15/2014
Medical Identifiers
Medical identifiers for Ms Cynthia Rowley-sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639142458 | NPI | - | NPPES |
| 1639142458 | Medicaid | IL | |
| 93342 | Other | IL | BCWELLMARK NUMBER |
| IL01W4 | Other | IL | JOHN DEERE NUMBER |
| 362739299001 | Other | IL | TRICARE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 085002201 (Illinois) | 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. Ms Cynthia Rowley-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 |
Ms Cynthia Rowley-sullivan, PA 104 W 18th Ave, Coal Valley, IL 61240-9337 Ph: (309) 799-7518 | Ms Cynthia Rowley-sullivan, PA 104 W 18th Ave, Coal Valley, IL 61240-9337 Ph: (309) 799-7518 |
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