Dr Mark S Sullivan, MD | |
1234 Empire St, Fairfield, CA 94533-5711 | |
(707) 426-3911 | |
(707) 436-2511 |
Full Name | Dr Mark S Sullivan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 1234 Empire St, Fairfield, California |
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 |
---|---|---|---|
1871673723 | NPI | - | NPPES |
00A492060 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A49206 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Sutter Solano Medical Center | Vallejo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark S Sullivan, MD 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Dr Mark S Sullivan, MD 1234 Empire St, Fairfield, CA 94533-5711 Ph: (707) 426-3911 |
Michael Balbin Santos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-427-4900 Fax: 707-432-2533 | |
Joel E Herness, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3911 | |
Mary Moreno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5000 | |
Dr. Jordan Ann Keys, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-469-4640 | |
Johanna M Cardoza, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Melissa G. Pearce, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2010 | |
Dr. Rebekah O Ayodele, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1620 Pennsylvania Ave, Suite C, Fairfield, CA 94533 Phone: 707-428-4878 |