Alex Brennan Sullivan, | |
111 S Front St, Harrisburg, PA 17101-2010 | |
(717) 782-3282 | |
Not Available |
Full Name | Alex Brennan Sullivan |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 111 S Front St, Harrisburg, Pennsylvania |
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 |
---|---|---|---|
1275113334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN682784 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN682784 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holy Spirit Hospital | Camp hill, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Penn State Health Community Medical Group Llc | 8729351077 | 657 |
Entity Name | Spirit Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093013328 PECOS PAC ID: 8022922202 Enrollment ID: O20040402000053 |
Entity Name | Capital Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447210737 PECOS PAC ID: 9032188610 Enrollment ID: O20040930000090 |
Entity Name | Penn State Health Community Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Entity Name | Upmc Pinnacle Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730693979 PECOS PAC ID: 1951662980 Enrollment ID: O20180307001977 |
Mailing Address | Practice Location Address |
---|---|
Alex Brennan Sullivan, 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-3282 | Alex Brennan Sullivan, 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-3282 |
Mrs. Holly Ann Maley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Ms. Alicia K Stidfole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Patrick Dougherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Diane E Geise, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5470 Fax: 717-782-5820 | |
Jessica E Rybinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8919 | |
Slim Ben M Aouadhi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-782-5118 Fax: 717-782-5854 | |
Maria R Symonies, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5470 Fax: 717-782-5820 |