Spencer K Sullivan, MD in Madison, MS

Spencer K Sullivan, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Madison, Mississippi. His current practice location is 7730 Old Canton Rd Bldg B, Madison, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 499-0935.

Spencer K Sullivan is licensed to practice in Mississippi (license number 23304) 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 1073735114.

Contact Information

	Spencer K Sullivan, MD
	7730 Old Canton Rd Bldg B, Madison, MS 39110-9299
	(601) 499-0935
	(601) 499-0936

Map and Direction

Physician's Profile

Full Name	Spencer K Sullivan
Gender	Male
Speciality
Experience	Years
Location	7730 Old Canton Rd Bldg B, Madison, Mississippi
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:

Spencer K Sullivan attended and graduated from in

NPI Data:

NPI Number: 1073735114
Provider Enumeration Date: 05/02/2007
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Spencer K Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073735114	NPI	-	NPPES
01212067	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	23304 (Mississippi)	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. Spencer K 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
Spencer K Sullivan, MD 7731 Old Canton Rd Ste B, Madison, MS 39110-6115 Ph: (601) 499-0935	Spencer K Sullivan, MD 7730 Old Canton Rd Bldg B, Madison, MS 39110-9299 Ph: (601) 499-0935

Reviews and Comments

Pediatrics Doctors in Madison, MS

Amy Potter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936
Dr. Saima Hanif, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936
Dr. Steven P. Chevalier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7726 Old Canton Rd, Madison, MS 39110 Phone: 601-856-5105 Fax: 601-856-8637
Dr. Meghan Page Poole, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 286 Calhoun Station Pkwy, Madison, MS 39110 Phone: 601-200-4321 Fax: 601-859-0159
Ashley W Mcglawn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr, Madison, MS 39110 Phone: 601-856-2598 Fax: 601-856-4459
Kerstin Gerhold, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936

Spencer K Sullivan, MD - Medicare in Madison, MS