Dr Andrew Sullivan, DO is a
General Practice physician based in Port Hueneme, California. Dr Andrew Sullivan is licensed to practice in Virginia (license number 0102203574) and his current practice location is 162 1st St Bldg 1402, Port Hueneme, California. He can be reached at his office (for appointments etc.) via phone at
(936) 523-0454.
NPI number for Dr Andrew Sullivan is 1932470291 and his current mailing address is 162 1st St Bldg 1402, Port Hueneme, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932470291.
Physician's Profile
Full Name | Dr Andrew Sullivan |
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Gender | Male |
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Speciality | General Practice |
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Location | 162 1st St Bldg 1402, Port Hueneme, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932470291
- Provider Enumeration Date: 01/19/2012
- Last Update Date: 04/23/2015
Medical Identifiers
Medical identifiers for Dr Andrew Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932470291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0102203574 (Virginia) | 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 Andrew Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Andrew Sullivan, DO 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 Ph: (936) 523-0454 | Dr Andrew Sullivan, DO 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 Ph: (936) 523-0454 |
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