Dr Michael Patrick Sullivan, DDS is a medicare enrolled "Dentist" provider in Geneva, Nebraska. His current practice location is
1008 G Sreet, Geneva, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 759-4288.
Dr Michael Patrick Sullivan is licensed to practice in Nebraska (license number 6938) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457647083.
Healthcare Provider's Profile
Full Name | Dr Michael Patrick Sullivan |
---|
Gender | Male |
---|
Speciality | Dentist |
---|
Location | 1008 G Sreet, Geneva, Nebraska |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457647083
- Provider Enumeration Date: 06/22/2011
- Last Update Date: 06/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 6608196522
- Enrollment ID: I20150518000248
Medical Identifiers
Medical identifiers for Dr Michael Patrick Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457647083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 6938 (Nebraska) | 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 Michael Patrick 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 Michael Patrick Sullivan, DDS 1008 G Sreet, Geneva, NE 68361 Ph: (402) 759-4288 | Dr Michael Patrick Sullivan, DDS 1008 G Sreet, Geneva, NE 68361 Ph: (402) 759-4288 |
Reviews and Comments