Mitchell Sullivan, MD is a medicare enrolled "Family Medicine" physician in Lyndonville, Vermont. His current practice location is
195 Industrial Pkwy, Lyndonville, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 748-9501.
Mitchell Sullivan is licensed to practice in Vermont (license number 042-0012982) 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 1841292562.
Physician's Profile
Full Name | Mitchell Sullivan |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 195 Industrial Pkwy, Lyndonville, 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. |
Medical Education and Training:
- Mitchell Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1841292562
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mitchell Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841292562 | NPI | - | NPPES |
160094 | Other | NH | CIGNA HEALTHCARE |
0106084YPNH01 | Other | NH | ANTHEM BC/BS |
5830418 | Other | | AETNA GROUP |
9367 | Other | NH | STATE LICENSE # |
30008999 | Medicaid | NH | |
930044719 | Other | | RAILROAD MEDICARE |
3073723 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 9367 (New Hampshire) | Secondary |
207Q00000X | Family Medicine | 042-0012982 (Vermont) | 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. Mitchell 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 |
Mitchell Sullivan, MD Po Box 83, Lyndonville, VT 05851-0083 Ph: (802) 748-9501 | Mitchell Sullivan, MD 195 Industrial Pkwy, Lyndonville, VT 05851-4511 Ph: (802) 748-9501 |
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