Dr Manly Jackson Sullivan, MEDICAL DOCTOR | |
241 Robert K Wilson Dr, Carrollton, AL 35447-8010 | |
(205) 367-2408 | |
(205) 367-9123 |
Full Name | Dr Manly Jackson Sullivan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 29 Years |
Location | 241 Robert K Wilson Dr, Carrollton, Alabama |
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 |
---|---|---|---|
1003804352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20081 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Community Hospital | Haleyville, AL | Hospital |
Northwest Medical Center | Winfield, AL | Hospital |
Fayette Medical Center | Fayette, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Physicians, Llc | 0446578298 | 5 |
Nwmc Emergency Physicians Llc | 0941604169 | 6 |
Relias Emergency Medicine Specialists Of Fayette Llc | 6800147604 | 8 |
Entity Name | Pickens County Healthcare Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093069569 PECOS PAC ID: 3678708427 Enrollment ID: O20140109001299 |
Entity Name | Lakeland Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851780951 PECOS PAC ID: 0446578298 Enrollment ID: O20150408000559 |
Entity Name | Relias Emergency Medicine Specialists Of Fayette Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201543 PECOS PAC ID: 6800147604 Enrollment ID: O20180918001531 |
Entity Name | Nwmc Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134708506 PECOS PAC ID: 0941604169 Enrollment ID: O20210811000258 |
Mailing Address | Practice Location Address |
---|---|
Dr Manly Jackson Sullivan, MEDICAL DOCTOR 241 Robert K Wilson Dr, Carrollton, AL 35447-8010 Ph: (205) 367-2408 | Dr Manly Jackson Sullivan, MEDICAL DOCTOR 241 Robert K Wilson Dr, Carrollton, AL 35447-8010 Ph: (205) 367-2408 |
Dr. William R Brooke, MEDICAL DOCTOR Emergency Medicine Medicare: Medicare Enrolled Practice Location: 241 Robert K Wilson Dr, Carrollton, AL 35447 Phone: 205-367-2408 Fax: 205-367-9123 | |
Dr. Nikki Lee Christensen, MEDICAL DOCTORS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 Robert K Wilson Dr, Carrollton, AL 35447 Phone: 205-367-2408 Fax: 205-367-9123 |