David Rolland Sullivan, LAC - in Marine On St Croix, MN

  1. Home
David Rolland Sullivan, LAC is a Specialist/technologist - Athletic Trainer based in Marine On St Croix, Minnesota. David Rolland Sullivan is licensed to practice in * (Not Available) (license number ) and his current practice location is 17777 St Croix Trail North, Marine On St Croix, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 433-5458.

NPI number for David Rolland Sullivan is 1396795365 and his current mailing address is 17777 St Croix Trail North, Marine On St Croix, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396795365.

Contact Information

David Rolland Sullivan, LAC
17777 St Croix Trail North,
Marine On St Croix, MN 55047
(651) 433-5458
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDavid Rolland Sullivan
GenderMale
SpecialitySpecialist/technologist - Athletic Trainer
Location17777 St Croix Trail North, Marine On St Croix, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396795365
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 07/19/2019

Medical Identifiers

Medical identifiers for David Rolland Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396795365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 1288 (Minnesota)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer (* (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. David Rolland 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 AddressPractice Location Address
David Rolland Sullivan, LAC
17777 St Croix Trail North,
Marine On St Croix, MN 55047

Ph: (651) 433-5458		David Rolland Sullivan, LAC
17777 St Croix Trail North,
Marine On St Croix, MN 55047

Ph: (651) 433-5458

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.