| Scott F Sullivan, PA | |
|
450 Veterans Memorial Pkwy # 15b, East Providence, RI 02914-5300 | |
| (401) 434-3350 | |
| (401) 434-5230 |
| Full Name | Scott F Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 450 Veterans Memorial Pkwy # 15b, East Providence, Rhode Island |
| 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 |
|---|---|---|---|
| 1477592988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00259 (Rhode Island) | Secondary |
| 363A00000X | Physician Assistant | PA826 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vmd Primary Providers Of Rhode Island Pc | 3072913714 | 51 |
| Entity Name | Emergency Physician Associates of New England PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427381052 PECOS PAC ID: 9931236395 Enrollment ID: O20100416000541 |
| Entity Name | Vmd Primary Providers of Rhode Island PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598341067 PECOS PAC ID: 3072913714 Enrollment ID: O20210616003189 |
| Entity Name | Healthadvisors LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598528671 PECOS PAC ID: 8325486244 Enrollment ID: O20240410002729 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott F Sullivan, PA Provider Enrollment 41 Mall Road, Burlington, MA 01805-0001 Ph: Not Available | Scott F Sullivan, PA 450 Veterans Memorial Pkwy # 15b, East Providence, RI 02914-5300 Ph: (401) 434-3350 |
Erin L Sharaf, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Veterans Memorial Pkwy, Building 14, East Providence, RI 02914 Phone: 401-435-6625 Fax: 401-435-6694 |
Olivia Perry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 |
Bonnie Cahill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy # 15b, East Providence, RI 02914 Phone: 401-434-3350 Fax: 401-434-5230 |
Toby Fingeroth Weiser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 73 Highland Ave Unit C, East Providence, RI 02914 Phone: 774-929-9100 Fax: 774-929-6290 |
Taylor Lynn Reall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy Bldg 6, East Providence, RI 02914 Phone: 401-435-5533 |
Spenser Teresa Hull-rafferty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 |
Kyra Gabow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-453-9032 |