Dr Brian J Sullivan, MD | |
1250 Sw Veterans Way Ste 120, Redmond, OR 97756 | |
(541) 923-4462 | |
Not Available |
Full Name | Dr Brian J Sullivan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 1250 Sw Veterans Way Ste 120, Redmond, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306088943 | NPI | - | NPPES |
500740526 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 257372 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | MD186677 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Medical Center - Bend | Bend, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mosaic Community Health | 5395653497 | 50 |
Mosaic Community Health | 5395653497 | 50 |
Entity Name | Edward M Kennedy Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609842152 PECOS PAC ID: 3476512740 Enrollment ID: O20041004000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian J Sullivan, MD 600 Sw Columbia St Ste 6210, Bend, OR 97702-1099 Ph: (541) 383-3005 | Dr Brian J Sullivan, MD 1250 Sw Veterans Way Ste 120, Redmond, OR 97756 Ph: (541) 923-4462 |
Dr. Alan C Hilles, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 865 Sw Veterans Way, Redmond, OR 97756 Phone: 541-322-3500 | |
Nathan R Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 | |
Sheryl L Norris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 | |
James K Detwiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 | |
Rose J Kenny, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756 Phone: 541-548-8088 Fax: 541-548-8018 | |
Dr. Christopher Schuler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 | |
Pamela J Irby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 |