Ryan A Sullivan, MD | |
2198 Us Highway 31 S, Manistee, MI 49660-9618 | |
(231) 723-3567 | |
Not Available |
Full Name | Ryan A Sullivan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 2198 Us Highway 31 S, Manistee, Michigan |
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 |
---|---|---|---|
1174605653 | NPI | - | NPPES |
P00267590 | Other | MI | RAILROAD MEDICARE |
4764828 | Medicaid | MI | |
1105115182 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 430308010 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Munson Home Care | Traverse city, MI | Home health agency |
Northern Home Care | Hart, MI | Home health agency |
Hospice Of Mecosta County | Big rapids, MI | Hospice |
Munson Healthcare Manistee Hospital | Manistee, MI | Hospital |
Paul Oliver Memorial Hospital | Frankfort, MI | Hospital |
Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
Spectrum Health Ludington Hospital | Ludington, MI | Hospital |
Manistee County Medical Care Facility | Manistee, MI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crystal Lake Clinic Pc | 0648259010 | 10 |
Entity Name | Munson Healthcare Manistee Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649457771 PECOS PAC ID: 3072414333 Enrollment ID: O20040119000647 |
Entity Name | Paul Oliver Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427054360 PECOS PAC ID: 8628964848 Enrollment ID: O20040225000359 |
Entity Name | Crystal Lake Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134491731 PECOS PAC ID: 0648259010 Enrollment ID: O20040802000634 |
Mailing Address | Practice Location Address |
---|---|
Ryan A Sullivan, MD 6227 Frankfort Hwy, Benzonia, MI 49616-8632 Ph: (231) 882-9661 | Ryan A Sullivan, MD 2198 Us Highway 31 S, Manistee, MI 49660-9618 Ph: (231) 723-3567 |
Charles Jay Vandenberg Iv, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1840 |