Susan B Sullivan, MD | |
775 S Main St, Chelsea, MI 48118-1370 | |
(734) 475-1311 | |
Not Available |
Full Name | Susan B Sullivan |
---|---|
Gender | Female |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 775 S Main St, Chelsea, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831136944 | NPI | - | NPPES |
SS080906 | Other | MI | BLUE CROSS BLUE SHIELD |
4482866 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 080906 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Chelsea Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912947409 PECOS PAC ID: 0648171074 Enrollment ID: O20040119000004 |
Mailing Address | Practice Location Address |
---|---|
Susan B Sullivan, MD 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: () - | Susan B Sullivan, MD 775 S Main St, Chelsea, MI 48118-1370 Ph: (734) 475-1311 |
Robert M Carruthers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-1311 | |
Neal E Little, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-1311 | |
David Kaisler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-1311 | |
Barry M Nemon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-1311 | |
Merle A Hunter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-1311 | |
Patrick B Munson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-1311 |