Stephanie Tiv Sullivan, PA-C in Snellville, GA - Medicare Physician Assistant

Stephanie Tiv Sullivan, PA-C is a medicare enrolled "Physician Assistant" in Snellville, Georgia. Her current practice location is 3020 Highway 124, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 978-1331.

Stephanie Tiv Sullivan is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194160044.

Contact Information

	Stephanie Tiv Sullivan, PA-C
	3020 Highway 124, Snellville, GA 30039-4614
	(770) 978-1331
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Tiv Sullivan
Gender	Female
Speciality	Physician Assistant
Location	3020 Highway 124, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194160044
Provider Enumeration Date: 05/06/2013
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0042452856
Enrollment ID: I20130807000594

Medical Identifiers

Medical identifiers for Stephanie Tiv Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194160044	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Stephanie Tiv Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie Tiv Sullivan, PA-C 3850 Pleasant Hill Rd, Duluth, GA 30096-4807 Ph: (404) 452-1684	Stephanie Tiv Sullivan, PA-C 3020 Highway 124, Snellville, GA 30039-4614 Ph: (770) 978-1331

Reviews and Comments

Physician Assistant Nurses in Snellville, GA

Ms. Donna Arthur, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-332-1234
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Liza Tanghal, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Tree Lane Rd, Ste 320, Snellville, GA 30078 Phone: 770-985-6233 Fax: 770-985-6864
Tanvi Mamud Dhanani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1010 Cranbrook Glen Ln, Snellville, GA 30078 Phone: 678-770-5311

Stephanie Tiv Sullivan, PA-C - Medicare Physician Assistant in Snellville, GA