Jerry J Sullivan, MD - Family Medicine in Springfield, VA

Jerry J Sullivan, MD is a Family Medicine physician based in Springfield, Virginia. Jerry J Sullivan is licensed to practice in Virginia (license number 0101243402) and his current practice location is 6501 Loisdale Ct, Springfield, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 922-1000.

NPI number for Jerry J Sullivan is 1306998406 and his current mailing address is 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306998406.

Contact Information

Jerry J Sullivan, MD
6501 Loisdale Ct,
Springfield, VA 22150-1826
(703) 922-1000
(703) 922-1039

Map and Direction




Physician's Profile

Full NameJerry J Sullivan
GenderMale
SpecialityFamily Medicine
Location6501 Loisdale Ct, Springfield, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306998406
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 11/22/2011

Medical Identifiers

Medical identifiers for Jerry J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306998406NPI-NPPES
8103087MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD00017070 (Washington)Secondary
207Q00000XFamily Medicine 0101243402 (Virginia)Primary
207Q00000XFamily Medicine D0071387 (Maryland)Secondary
207Q00000XFamily Medicine MD039385 (District Of Columbia)Secondary

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. Jerry J Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry J Sullivan, MD
2101 E Jefferson St, Kaiser Permanente Medicare Enrollment,
Rockville, MD 20852-4908

Ph: (301) 816-2424
Jerry J Sullivan, MD
6501 Loisdale Ct,
Springfield, VA 22150-1826

Ph: (703) 922-1000

Reviews and Comments


Family Medicine Doctors in Springfield, VA

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Jeffrey K Nekoba, MD
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Dr. Farah Saeed, DO
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Phone: 703-922-1000    
Dr. Priya Jagannathan, MD
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Phone: 703-944-7662    
Mrs. Rebecca Mensah, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 8020 Pohick Rd, Springfield, VA 22153
Phone: 571-484-0443    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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