Lawrence Lowrey Sullivan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in St Albans, Vermont. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Northwestern Medical Center Inc and his current practice location is
12 Crest Rd, St Albans, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 524-3215.
Lawrence Lowrey Sullivan is licensed to practice in Vermont (license number 0420009902) 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 1891726824.
Physician's Profile
| Full Name | Lawrence Lowrey Sullivan |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 30 Years |
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| Location | 12 Crest Rd, St Albans, Vermont |
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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. |
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Medical Education and Training:
- Lawrence Lowrey Sullivan graduated from medical school in 1995
NPI Data:
- NPI Number: 1891726824
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 10/30/2013
Medicare PECOS Information:
- PECOS PAC ID: 2769548783
- Enrollment ID: I20100208000284
Medical Identifiers
Medical identifiers for Lawrence Lowrey Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891726824 | NPI | - | NPPES |
| 0VN2247 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 0420009902 (Vermont) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northwestern Medical Center Inc | 5496714313 | 79 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lawrence Lowrey Sullivan allows following entities to bill medicare on his behalf.
| Entity Name | Northwestern Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720112659
PECOS PAC ID: 5496714313
Enrollment ID: O20041006001249 |
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| Entity Name | Northwestern Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538293469
PECOS PAC ID: 5496714313
Enrollment ID: O20081114000535 |
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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. Lawrence Lowrey 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 |
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Lawrence Lowrey Sullivan, MD
12 Crest Rd,
Saint Albans, VT 05478
Ph: (802) 524-3215 | Lawrence Lowrey Sullivan, MD
12 Crest Rd,
St Albans, VT 05478
Ph: (802) 524-3215 |
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