Anthony Michael Sullivan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Canon City, Colorado. His current practice location is
3225 Independence Rd, Canon City, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 275-2351.
Anthony Michael Sullivan is licensed to practice in Colorado (license number 3490) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245362615.
Healthcare Provider's Profile
| Full Name | Anthony Michael Sullivan |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3225 Independence Rd, Canon City, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anthony Michael Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1245362615
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 07/29/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Anthony Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245362615 | NPI | - | NPPES |
| 26350246 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2778 (Colorado) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3490 (Colorado) | 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. Anthony Michael 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 |
|---|
Anthony Michael Sullivan, PSYD
3225 Independence Rd,
Canon City, CO 81212-9380
Ph: (719) 275-2351 | Anthony Michael Sullivan, PSYD
3225 Independence Rd,
Canon City, CO 81212-9380
Ph: (719) 275-2351 |
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