Mr John Edwin Sullivan Iii, is a
Case Manager/care Coordinator based in San Francisco, California. Mr John Edwin Sullivan Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is
1801 Vicente St, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(916) 613-1246.
NPI number for Mr John Edwin Sullivan Iii is 1063636819 and his current mailing address is 1801 Vicente St, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063636819.
Healthcare Provider's Profile
| Full Name | Mr John Edwin Sullivan Iii |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 1801 Vicente St, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063636819
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 05/22/2023
Medical Identifiers
Medical identifiers for Mr John Edwin Sullivan Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063636819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Mr John Edwin Sullivan Iii 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 |
|---|
Mr John Edwin Sullivan Iii,
1801 Vicente St,
San Francisco, CA 94116-2923
Ph: (916) 613-1246 | Mr John Edwin Sullivan Iii,
1801 Vicente St,
San Francisco, CA 94116-2923
Ph: (916) 613-1246 |
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