Dr John Sullivan, MD is a
Emergency Medicine - Hospice And Palliative Medicine physician based in Coventry, Rhode Island. Dr John Sullivan is licensed to practice in Rhode Island (license number MD7852) and his current practice location is 92 Wood Cove Dr, Coventry, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 823-1638.
NPI number for Dr John Sullivan is 1962827808 and his current mailing address is 92 Wood Cove Dr, Coventry, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962827808.
Physician's Profile
| Full Name | Dr John Sullivan |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine - Hospice And Palliative Medicine |
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| Location | 92 Wood Cove Dr, Coventry, Rhode Island |
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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: 1962827808
- Provider Enumeration Date: 03/02/2014
- Last Update Date: 03/02/2014
Medical Identifiers
Medical identifiers for Dr John Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962827808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD7852 (Rhode Island) | Secondary |
| 207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | MD7852 (Rhode Island) | Primary |
| 207R00000X | Internal Medicine | MD7852 (Rhode Island) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | MD7852 (Rhode Island) | Secondary |
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 John 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 John Sullivan, MD
92 Wood Cove Dr,
Coventry, RI 02816-6614
Ph: () - | Dr John Sullivan, MD
92 Wood Cove Dr,
Coventry, RI 02816-6614
Ph: (401) 823-1638 |
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