Heather E Sullivan, MD is a medicare enrolled "Family Medicine" physician in Eastford, Connecticut. Her current practice location is
108 County Rd, Eastford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 315-5740.
Heather E Sullivan is licensed to practice in Connecticut (license number 024767) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578584165.
Physician's Profile
Full Name | Heather E Sullivan |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 108 County Rd, Eastford, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578584165
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 04/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294737417
- Enrollment ID: I20150513001331
Medical Identifiers
Medical identifiers for Heather E Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578584165 | NPI | - | NPPES |
DO1247675 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 024767 (Connecticut) | 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. Heather E Sullivan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heather E Sullivan, MD 108 County Road, Po Box 385, Eastford, CT 06242 Ph: (860) 315-5740 | Heather E Sullivan, MD 108 County Rd, Eastford, CT 06242-7710 Ph: (860) 315-5740 |
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