Sean W Sullivan, DO | |
400 Medical Park Dr, Watervliet, MI 49098-9225 | |
(269) 463-3600 | |
Not Available |
Full Name | Sean W Sullivan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 400 Medical Park Dr, Watervliet, 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 |
---|---|---|---|
1194762286 | NPI | - | NPPES |
4714970 | Medicaid | MI | |
4720636 | Medicaid | MI | |
SS014473 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 5101014473 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Homecare | Benton harbor, MI | Home health agency |
Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Community Hospital Watervliet | 7416942750 | 50 |
Entity Name | Lakeland Community Hospital Watervliet |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
Mailing Address | Practice Location Address |
---|---|
Sean W Sullivan, DO 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: () - | Sean W Sullivan, DO 400 Medical Park Dr, Watervliet, MI 49098-9225 Ph: (269) 463-3600 |
Sarah L Thordarson, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-2242 | |
Lindsey Catherine Healy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 | |
Dr. Celia Stenfors-dacre, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 |