Dr Charles W Sullivan, DO is a
Neuromusculoskeletal Medicine & Omm physician based in Hallowell, Maine. Dr Charles W Sullivan is licensed to practice in Maine (license number 1048) and his current practice location is 98 Second St, Hallowell, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 649-2795.
NPI number for Dr Charles W Sullivan is 1003984311 and his current mailing address is 98 Second St, Hallowell, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003984311.
Physician's Profile
| Full Name | Dr Charles W Sullivan |
|---|
| Gender | Male |
|---|
| Speciality | Neuromusculoskeletal Medicine & Omm |
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| Location | 98 Second St, Hallowell, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003984311
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/19/2013
Medical Identifiers
Medical identifiers for Dr Charles W Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003984311 | NPI | - | NPPES |
| 015555 | Other | | BCBS |
| 211750000 | Medicaid | ME | |
| 015219 | Other | | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1048 (Maine) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 1048 (Maine) | 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 Charles W 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 Charles W Sullivan, DO
98 Second St,
Hallowell, ME 04347-1368
Ph: (207) 649-2795 | Dr Charles W Sullivan, DO
98 Second St,
Hallowell, ME 04347-1368
Ph: (207) 649-2795 |
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