Patrick Sullivan, MD | |
235 Plain St, Providence, RI 02905-3240 | |
(401) 831-8300 | |
Not Available |
Full Name | Patrick Sullivan |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 235 Plain St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659345015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | MD06895 (Rhode Island) | Primary |
Entity Name | Patrick K. Sullivan, Md, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013978634 PECOS PAC ID: 1658456306 Enrollment ID: O20080305000704 |
Entity Name | Lifespan Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
Mailing Address | Practice Location Address |
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Patrick Sullivan, MD 235 Plain St, Providence, RI 02905-3243 Ph: (401) 831-8300 | Patrick Sullivan, MD 235 Plain St, Providence, RI 02905-3240 Ph: (401) 831-8300 |
Rachel Aileen Sullivan, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Plain St Ste 203, Providence, RI 02905 Phone: 401-649-4901 Fax: 401-649-4903 | |
Damon Mcintire, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4188 Fax: 401-444-4863 | |
James Weintrub, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 34 Barnes St, Providence, RI 02906 Phone: 401-274-2744 | |
Amy Claire Kite, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Plain St Ste 203, Providence, RI 02905 Phone: 401-444-2701 | |
Dr. Solomon Swartz, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4188 | |
Jonathan P Brower, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 235 Plain St Ste 202, Providence, RI 02905 Phone: 401-425-5232 Fax: 401-425-5334 | |
Richard J Zienowicz, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Ste 380, Providence, RI 02905 Phone: 401-453-0120 Fax: 401-453-0198 |