Mary Jane Sullivan, AUD is a
Audiologist based in Durham, New Hampshire. Mary Jane Sullivan is licensed to practice in New Hampshire (license number A449) and her current practice location is
4 Library Way, Durham, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 862-5077.
NPI number for Mary Jane Sullivan is 1366474165 and her current mailing address is 61 Locke Rd., Hampton, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366474165.
Healthcare Provider's Profile
Full Name | Mary Jane Sullivan |
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Gender | Female |
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Speciality | Audiologist |
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Location | 4 Library Way, Durham, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366474165
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Jane Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366474165 | NPI | - | NPPES |
30431497 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | A449 (New Hampshire) | Primary |
231H00000X | Audiologist | 299 (Massachusetts) | Secondary |
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. Mary Jane 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 Address | Practice Location Address |
Mary Jane Sullivan, AUD 61 Locke Rd., Hampton, NH 03842 Ph: () - | Mary Jane Sullivan, AUD 4 Library Way, Durham, NH 03824 Ph: (603) 862-5077 |
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