William J Sullivan, DO | |
608 Willard, Frontenac, KS 66763-2120 | |
(620) 231-8849 | |
(620) 231-8847 |
Full Name | William J Sullivan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 608 Willard, Frontenac, Kansas |
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 |
---|---|---|---|
1093805897 | NPI | - | NPPES |
200213791 | Other | KS | TRICARE |
P00077657 | Other | KS | RR MEDICARE |
100234810D | Medicaid | KS | |
103449 | Other | KS | MEDICARE |
103449 | Other | KS | BCBS |
110994 | Other | KS | MEDICARE |
110994 | Other | KS | GROUP BCBS |
189381 | Other | KS | COVENTRY |
DA9115 | Other | KS | GRP RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 05-25406 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health | Chanute, KS | Home health agency |
Avalon Hospice (pittsburg) | Pittsburg, KS | Hospice |
Freeman Health System - Freeman West | Joplin, MO | Hospital |
Via Christi Hospital Pittsburg Inc | Pittsburg, KS | Hospital |
Girard Medical Center | Girard, KS | Hospital |
Pittsburg Care And Rehab | Pittsburg, KS | Nursing home |
Medicalodges Frontenac | Frontenac, KS | Nursing home |
Via Christi Village Pittsburg Inc | Pittsburg, KS | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Via Christi Hospital Pittsburg, Inc. | 0547171670 | 40 |
Freeman-oak Hill Health System | 8325942253 | 308 |
Entity Name | Ascension Via Christi Hospital Pittsburg, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760408975 PECOS PAC ID: 0547171670 Enrollment ID: O20031105000718 |
Entity Name | Freeman-oak Hill Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20031215000534 |
Mailing Address | Practice Location Address |
---|---|
William J Sullivan, DO Po Box 1023, Frontenac, KS 66763-1023 Ph: (620) 231-8849 | William J Sullivan, DO 608 Willard, Frontenac, KS 66763-2120 Ph: (620) 231-8849 |