Herman Sullivan, MD | |
200 Cherry St Se, Grand Rapids, MI 49503 | |
(616) 685-5050 | |
Not Available |
Full Name | Herman Sullivan |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 39 Years |
Location | 200 Cherry St Se, Grand Rapids, Michigan |
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 |
---|---|---|---|
1528008281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 4301069347 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
Mercy Health Hackley Campus | Muskegon, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advantage Health/saint Mary's Medical Group | 4082807961 | 386 |
Entity Name | Mercy Health Partners Sub-specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124042700 PECOS PAC ID: 3274504105 Enrollment ID: O20040804000803 |
Entity Name | Advantage Health/saint Mary's Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
Mailing Address | Practice Location Address |
---|---|
Herman Sullivan, MD 245 State St Se, Ste 221, Grand Rapids, MI 49503 Ph: (616) 685-1808 | Herman Sullivan, MD 200 Cherry St Se, Grand Rapids, MI 49503 Ph: (616) 685-5050 |
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