Susan Sullivan Gunn, M D is a
Internal Medicine physician based in University, Mississippi. Susan Sullivan Gunn is licensed to practice in Mississippi (license number 13564) and her current practice location is 400 Rebel Drive, University, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 915-7274.
NPI number for Susan Sullivan Gunn is 1508113168 and her current mailing address is 3625 Lyles Dr, Oxford, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508113168.
Physician's Profile
| Full Name | Susan Sullivan Gunn |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 400 Rebel Drive, University, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508113168
- Provider Enumeration Date: 08/13/2012
- Last Update Date: 08/13/2012
Medical Identifiers
Medical identifiers for Susan Sullivan Gunn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508113168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 13564 (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. Susan Sullivan Gunn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Sullivan Gunn, M D
3625 Lyles Dr,
Oxford, MS 38655-5708
Ph: (662) 513-4599 | Susan Sullivan Gunn, M D
400 Rebel Drive,
University, MS 38677
Ph: (662) 915-7274 |
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