Joseph R Sullivan, DO is a medicare enrolled "Surgery" physician in St Francis, Wisconsin. His current practice location is
2000 E Layton Ave, St Francis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 744-6589.
Joseph R Sullivan is licensed to practice in Wisconsin (license number 65368-21) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295022903.
Physician's Profile
Full Name | Joseph R Sullivan |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2000 E Layton Ave, St Francis, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Joseph R Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1295022903
- Provider Enumeration Date: 07/01/2011
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Joseph R Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295022903 | NPI | - | NPPES |
100058377 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 65368-21 (Wisconsin) | Primary |
208600000X | Surgery | 5101019532 (Michigan) | 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. Joseph R 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 |
Joseph R Sullivan, DO 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-6589 | Joseph R Sullivan, DO 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-6589 |
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