Ryan A Sullivan, MD is a medicare enrolled "Internal Medicine" physician in Manistee, Michigan. His current practice location is
2198 Us Highway 31 S, Manistee, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 723-3567.
Ryan A Sullivan is licensed to practice in Michigan (license number 430308010) 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 1174605653.
Physician's Profile
Full Name | Ryan A Sullivan |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2198 Us Highway 31 S, Manistee, Michigan |
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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:
- Ryan A Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1174605653
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 12/30/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ryan A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174605653 | NPI | - | NPPES |
P00267590 | Other | MI | RAILROAD MEDICARE |
4764828 | Medicaid | MI | |
1105115182 | Other | MI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 430308010 (Michigan) | 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. Ryan A 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 |
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 |
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