| Sandra Jean Sullivan, PA | |
|
1976 White Mountain Hwy Ste 105, North Conway, NH 03860-5147 | |
| (603) 356-4940 | |
| Not Available |
| Full Name | Sandra Jean Sullivan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 33 Years |
| Location | 1976 White Mountain Hwy Ste 105, North Conway, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003967407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3056 (New Hampshire) | Primary |
| 363A00000X | Physician Assistant | 3056 (New Hampshire) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mainehealth Memorial Hospital | North conway, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth New Hampshire Ambulatory Care | 9436659968 | 7 |
| Entity Name | Mainehealth New Hampshire Ambulatory Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356145148 PECOS PAC ID: 9436659968 Enrollment ID: O20251120003082 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Jean Sullivan, PA 1976 White Mountain Hwy Ste 105, North Conway, NH 03860-5147 Ph: (603) 356-4940 | Sandra Jean Sullivan, PA 1976 White Mountain Hwy Ste 105, North Conway, NH 03860-5147 Ph: (603) 356-4940 |
Ms. Abigail Hannah Lang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461 Fax: 603-356-8741 |
Nicole Maher Becker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461 |
Robin Max Abeles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461 |
Patrick T Maguire, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-7061 Fax: 603-356-3942 |
Ms. Isabella Pino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3107 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-7061 Fax: 603-356-3942 |
Sara Ryan Sterl, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461 |
Christopher George Lamphere, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1976 White Mountain Hwy Ste 105, North Conway, NH 03860 Phone: 603-356-4940 Fax: 603-371-3250 |