Michael Patrick Sullivan, MD | |
1117 Spring St, Friday Harbor, WA 98250-9782 | |
(360) 378-2141 | |
(360) 378-3655 |
Full Name | Michael Patrick Sullivan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1117 Spring St, Friday Harbor, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922037548 | NPI | - | NPPES |
7524SU | Other | WA | BSWA |
8182263 | Medicaid | WA | |
0168205 | Other | WA | LIWA |
0302692 | Other | WA | L&I AND CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00033030 (Washington) | Primary |
Entity Name | Peacehealth Peace Island Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508129842 PECOS PAC ID: 9335391044 Enrollment ID: O20130122000273 |
Mailing Address | Practice Location Address |
---|---|
Michael Patrick Sullivan, MD Po Box 5096, Bellingham, WA 98227-5096 Ph: (360) 378-2141 | Michael Patrick Sullivan, MD 1117 Spring St, Friday Harbor, WA 98250-9782 Ph: (360) 378-2141 |
Douglas R Tuttle, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-3655 | |
Roy W. Graves, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-1788 | |
Loren Arthur Johnson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-3655 |