Daniel Sullivan, DO | |
70 Medical Center Cir Ste 302, Fishersville, VA 22939-2273 | |
(540) 245-7400 | |
(540) 245-7401 |
Full Name | Daniel Sullivan |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 33 Years |
Location | 70 Medical Center Cir Ste 302, Fishersville, Virginia |
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 |
---|---|---|---|
1306866785 | NPI | - | NPPES |
P00297124 | Other | RR MEDICARE | |
325601400 | Medicaid | MD | |
W2660010 | Other | MD | MD BLUE SHIELD REGIONAL |
68576206 | Other | MD | BLUE SHIELD TRADITIONAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 0102204769 (Virginia) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | H0053418 (Maryland) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Augusta Health | Fishersville, VA | Hospital |
University Of Virginia Medical Center | Charlottesville, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Augusta Medical Group | 3678632544 | 337 |
Entity Name | Augusta Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
Mailing Address | Practice Location Address |
---|---|
Daniel Sullivan, DO Po Box 388, Fishersville, VA 22939-0388 Ph: (540) 932-5162 | Daniel Sullivan, DO 70 Medical Center Cir Ste 302, Fishersville, VA 22939-2273 Ph: (540) 245-7400 |
Mrs. Emily Watley, CMT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 75 Monroe Ln, Fishersville, VA 22939 Phone: 540-290-5771 | |
Dr. Douglas P Murphy, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 243 Woodrow Wilson Lane, Fishersville, VA 22939 Phone: 540-332-7497 | |
Dr. Mammen M Mathew, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 243 Woodrow Wilson Lane, Fishersville, VA 22939 Phone: 540-332-7082 |