| Timothy Eric Sullivan Jr, PA-C | |
|
106 S Claude A Lord Blvd, Pottsville, PA 17901-3639 | |
| (570) 728-2424 | |
| (570) 728-2425 |
| Full Name | Timothy Eric Sullivan Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 106 S Claude A Lord Blvd, Pottsville, Pennsylvania |
| 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 |
|---|---|---|---|
| 1295012060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 25MP00271500 (New Jersey) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA056911 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Eric Sullivan Jr, PA-C 2100 Mack Blvd, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Timothy Eric Sullivan Jr, PA-C 106 S Claude A Lord Blvd, Pottsville, PA 17901-3639 Ph: (570) 728-2424 |
Jennifer Marie Thomas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Schuylkill Medical Plz, Suite 205, Pottsville, PA 17901 Phone: 570-621-5010 Fax: 570-628-2525 | |
Caitlin Ralston, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Schuylkill Med Plz, Suite 202, Pottsville, PA 17901 Phone: 570-621-5987 Fax: 570-621-5980 | |
Colby Allan Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 48 Tunnel Rd, Suite 101, Pottsville, PA 17901 Phone: 570-622-2245 | |
Julia Nicole Gillow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 48 Tunnel Rd Ste 205, Pottsville, PA 17901 Phone: 570-622-1400 | |
Ms. Karen B Bohenek, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 E Norwegian St, Pottsville, PA 17901 Phone: 570-621-4143 Fax: 570-621-4769 | |
Stefanie Nicole Gensure, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 529 Terry Reiley Way, Pottsville, PA 17901 Phone: 570-624-4445 Fax: 570-624-4445 |