David Wayne Sullivan, MD | |
6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 | |
(901) 747-9081 | |
(901) 747-9087 |
Full Name | David Wayne Sullivan |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 37 Years |
Location | 6029 Walnut Grove Rd Ste 301, Memphis, Tennessee |
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 |
---|---|---|---|
1851399638 | NPI | - | NPPES |
P00272099 | Other | MS | RAILROAD MEDIARE |
00125865 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 20920 (Tennessee) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 11785 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Union County | New albany, MS | Hospital |
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Hospital Union County, Inc. | 4183601305 | 30 |
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Entity Name | Baptist Memorial Hospital-desoto, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194789818 PECOS PAC ID: 5597758755 Enrollment ID: O20040405001337 |
Entity Name | Baptist Memorial Hospital North Mississippi, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053375576 PECOS PAC ID: 9335057181 Enrollment ID: O20040416000311 |
Entity Name | Baptist Memorial Hospital Union County, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780648352 PECOS PAC ID: 4183601305 Enrollment ID: O20040706000553 |
Entity Name | Baptist Memorial Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
Mailing Address | Practice Location Address |
---|---|
David Wayne Sullivan, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: () - | David Wayne Sullivan, MD 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 Ph: (901) 747-9081 |
Khawaja Muhammad Muddassir, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave, Suite 370, Memphis, TN 38104 Phone: 901-758-7888 Fax: 901-387-5153 | |
Allison Montague, Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1955 S 3rd St, Memphis, TN 38109 Phone: 901-515-5800 | |
Dr. Marcia Bradford, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 360 E Eh Crump Blvd, Memphis, TN 38126 Phone: 901-261-2000 Fax: 901-946-9262 | |
Dr. Aleksandar Jankov, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120 Phone: 901-747-9081 Fax: 901-747-9087 | |
Manoj K Jain, MD, MPH Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd Ste 209, Memphis, TN 38120 Phone: 901-681-0778 Fax: 901-821-9987 | |
Dr. Karl Weber, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-4739 | |
Dr. Pedro Velasquez, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 300, Memphis, TN 38119 Phone: 901-683-0024 Fax: 901-683-0086 |