Dr Thomas P Sullivan, MD | |
1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | |
(425) 250-1145 | |
(425) 823-6028 |
Full Name | Dr Thomas P Sullivan |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 1310 116th Ave Ne, Bellevue, Washington |
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 |
---|---|---|---|
1649292186 | NPI | - | NPPES |
8248510 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD213922 (Oregon) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD00034763 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Regional Medical Center | Corvallis, OR | Hospital |
Samaritan North Lincoln Hospital | Lincoln city, OR | Hospital |
Samaritan Albany General Hospital | Albany, OR | Hospital |
Samaritan Lebanon Community Hospital | Lebanon, OR | Hospital |
Samaritan Pacific Community Hospital | Newport, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Corvallis Radiology Pc | 2062300676 | 20 |
Corvallis Radiology Pc | 2062300676 | 20 |
Samaritan Pacific Health Services Inc | 2466353529 | 73 |
Entity Name | Radiology Consultants Of Washington Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497914790 PECOS PAC ID: 6608763859 Enrollment ID: O20040302000774 |
Entity Name | Corvallis Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881651289 PECOS PAC ID: 2062300676 Enrollment ID: O20070320000216 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas P Sullivan, MD 11811 Ne 128th Street, Suite 202, Kirkland, WA 98034 Ph: (425) 250-1145 | Dr Thomas P Sullivan, MD 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 Ph: (425) 250-1145 |
Justin K Yoon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 17382 Se 54th Pl, Bellevue, WA 98006 Phone: 206-310-7710 | |
Dr. Calixto T. Dimas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 116th Ave Ne, Suite E, Bellevue, WA 98004 Phone: 425-250-1150 Fax: 425-823-6028 | |
Dr. Stacie L Mars, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1310 116th Ave Ne, Suite E, Bellevue, WA 98004 Phone: 425-250-1145 Fax: 425-823-6028 | |
Uhng-kyu Shim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 | |
Gary Michael Reeves, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 | |
Dr. Nicholas Ryan Galloway, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 844-620-1839 | |
Dr. Shane E Macaulay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 116th Ave Ne, Suite E, Bellevue, WA 98004 Phone: 425-250-1145 Fax: 425-823-6028 |