Dr Ellen J Sullivan, DDS in Queens Village, NY

Dr Ellen J Sullivan, DDS is a medicare enrolled "Dentist - General Practice" provider in Queens Village, New York. Her current practice location is 21414 Spencer Ave, Queens Village, New York. You can reach out to her office (for appointments etc.) via phone at (718) 468-1812.

Dr Ellen J Sullivan is licensed to practice in New York (license number 036823) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598759789.

Contact Information

	Dr Ellen J Sullivan, DDS
	21414 Spencer Ave, Queens Village, NY 11427-1821
	(718) 468-1812
	(718) 468-1815

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ellen J Sullivan
Gender	Female
Speciality	Dentist - General Practice
Location	21414 Spencer Ave, Queens Village, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598759789
Provider Enumeration Date: 09/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9133422892
Enrollment ID: I20160129001497

Medical Identifiers

Medical identifiers for Dr Ellen J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598759789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	036823 (New York)	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. Dr Ellen J 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
Dr Ellen J Sullivan, DDS 21414 Spencer Ave, Queens Village, NY 11427-1821 Ph: (718) 468-1812	Dr Ellen J Sullivan, DDS 21414 Spencer Ave, Queens Village, NY 11427-1821 Ph: (718) 468-1812

Reviews and Comments

Dentist in Queens Village, NY

Blanca L Borboa, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21854 99th Ave, Queens Village, NY 11429 Phone: 718-776-1320
Dr. Charles Julian Isaacs, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9329 Hollis Court Blvd, Queens Village, NY 11428 Phone: 347-676-1758
Dr. Cliff Rogers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 22024 Hillside Ave, Queens Village, NY 11427 Phone: 718-479-7100
Babak Nahavandi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22117 Jamaica Ave, Queens Village, NY 11428 Phone: 718-454-4000 Fax: 712-479-9171
Dr. Charles Ensworth Buchanan Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21820 Hempstead Ave Ste 2, Queens Village, NY 11429 Phone: 718-217-8700 Fax: 718-217-8701
Dr. Glenn Kevin Rochlen, DENTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 11206 Springfield Blvd, Queens Village, NY 11429 Phone: 718-479-4100
Dr. Ahmed M. Taha El Kady, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 218-84 Hempstead Ave, Queens Village, NY 11429 Phone: 718-736-6162 Fax: 718-468-2047

Dr Ellen J Sullivan, DDS - Medicare Dentist in Queens Village, NY