Donald Nicholas Sullivan, MD | |
104 Ashland, Mt Zion, IL 62549 | |
(217) 864-2665 | |
(217) 864-8042 |
Full Name | Donald Nicholas Sullivan |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 17 Years |
Location | 104 Ashland, Mt Zion, Illinois |
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 |
---|---|---|---|
1154511517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 125-052745 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
Community Homecare, Inc | Sullivan, IL | Home health agency |
Memorial Home Services | Springfield, IL | Home health agency |
Lincolnland Home Care Of Sbl | Mattoon, IL | Home health agency |
Encompass Health Home Health | Springfield, IL | Home health agency |
Decatur Memorial Hospital | Decatur, IL | Hospital |
St Marys Hospital | Decatur, IL | Hospital |
Pana Community Hospital | Pana, IL | Hospital |
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Warner Hospital And Health Services | Clinton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pana Community Hospital Association | 3274437348 | 53 |
Decatur Orthopedic Center Llc | 4981844289 | 8 |
Kirby Medical Center | 6901791144 | 53 |
Entity Name | Pana Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
Entity Name | Kirby Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
Entity Name | Decatur Orthopedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446 |
Mailing Address | Practice Location Address |
---|---|
Donald Nicholas Sullivan, MD 104 Ashland, Mt Zion, IL 62549 Ph: (217) 864-2665 | Donald Nicholas Sullivan, MD 104 Ashland, Mt Zion, IL 62549 Ph: (217) 864-2665 |
Mrs. Holly Marie Chapman, APN Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 E Ashland Ave, Mt Zion, IL 62549 Phone: 217-864-2665 |