William J Sullivan, DO is a medicare enrolled "Internal Medicine" physician in Frontenac, Kansas. His current practice location is
608 Willard, Frontenac, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 231-8849.
William J Sullivan is licensed to practice in Kansas (license number 05-25406) 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 1093805897.
Physician's Profile
| Full Name | William J Sullivan |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 608 Willard, Frontenac, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William J Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1093805897
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 08/06/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for William J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| 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 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 05-25406 (Kansas) | 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. William J 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 |
|---|
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 |
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