Charles L Sullivan, MD | |
2360 Mullan Rd, Suite C., Missoula, MT 59808-1811 | |
(406) 721-4436 | |
(406) 721-6053 |
Full Name | Charles L Sullivan |
---|---|
Gender | Male |
Speciality | Hand Surgery |
Experience | 23 Years |
Location | 2360 Mullan Rd, Missoula, Montana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619929635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 12035 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Patrick Hospital | Missoula, MT | Hospital |
Marcus Daly Memorial Hospital - Cah | Hamilton, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missoula Bone And Joint, Llc | 3870583990 | 48 |
Entity Name | Missoula Bone & Joint, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207212 PECOS PAC ID: 3870583990 Enrollment ID: O20040512001126 |
Mailing Address | Practice Location Address |
---|---|
Charles L Sullivan, MD 2360 Mullan Rd, Suite C., Missoula, MT 59808-1811 Ph: (406) 721-4436 | Charles L Sullivan, MD 2360 Mullan Rd, Suite C., Missoula, MT 59808-1811 Ph: (406) 721-4436 |
Taylor Buckley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W Ste 101, Missoula, MT 59804 Phone: 406-728-6101 Fax: 406-721-3278 | |
Dr. Stephen George Powell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804 Phone: 406-728-6101 Fax: 406-721-3278 | |
Dr. James Joseph Gholson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 | |
Joseph Fox, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2835 Fort Missoula Rd Ste 201, Missoula, MT 59804 Phone: 406-327-4730 | |
Paul Andrew Puckett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd, Suite C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 | |
Dr. Larry R. Stayner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W Ste 101, Missoula, MT 59804 Phone: 406-728-6101 Fax: 406-721-3278 | |
Dr. Zackery W Witte, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 |