John A Sullivan, MD in Jackson, WY

John A Sullivan, MD is a Radiology - Diagnostic Radiology physician based in Jackson, Wyoming. John A Sullivan is licensed to practice in Missouri (license number R6F03) and his current practice location is 7330 Ryegrass Road, Jackson, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 733-9105.

NPI number for John A Sullivan is 1013985134 and his current mailing address is 1550 E Republic Rd, Springfield, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013985134.

Contact Information

	John A Sullivan, MD
	7330 Ryegrass Road, Jackson, WY 83001
	(307) 733-9105
	Not Available

Map and Direction

Physician's Profile

Full Name	John A Sullivan
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	7330 Ryegrass Road, Jackson, Wyoming
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1013985134
Provider Enumeration Date: 03/14/2006
Last Update Date: 09/10/2009

Medical Identifiers

Medical identifiers for John A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013985134	NPI	-	NPPES
1256	Other	MO	BLUE
202340501	Medicaid	MO
110826001	Medicaid	AR
300034332	Other	MO	RRR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	R6F03 (Missouri)	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. John A 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 Address	Practice Location Address
John A Sullivan, MD 1550 E Republic Rd, Springfield, MO 65804-6530 Ph: (417) 889-6102	John A Sullivan, MD 7330 Ryegrass Road, Jackson, WY 83001 Ph: (307) 733-9105

Reviews and Comments

Radiology Doctors in Jackson, WY

Richard A Ofstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: St Johns Medical Center Dept Of Radiology, 625 E Broadway, Jackson, WY 83011 Phone: 800-633-1905 Fax: 913-491-0411
Christopher Sean Haling, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 625 East Broadway, St Johns Medical Center Dept Of Radiology, Jackson, WY 83001 Phone: 800-633-1905
Katharine A Yoler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 715 Snow King Dr, Jackson, WY 83001 Phone: 206-755-3545
Robert Paul Jones, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7282
Thomas J Wilson, MD Radiology Medicare: Medicare Enrolled Practice Location: 625 East Broadway, St Johns Medical Center Dept Of Radiology, Jackson, WY 83001 Phone: 800-633-1905 Fax: 913-491-0411
Gary W Heath, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 625 East Broadway, St Johns Medical Center Dept Of Radiology, Jackson, WY 83001 Phone: 800-633-1905

John A Sullivan, MD - Radiology in Jackson, WY