Benjamin Alexander Sullivan, PA-C in Baltimore, MD

Benjamin Alexander Sullivan, PA-C is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. His current practice location is 900 Caton Avenue, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 368-2514.

Benjamin Alexander Sullivan is licensed to practice in Maryland (license number C0003370) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225196652.

Contact Information

	Benjamin Alexander Sullivan, PA-C
	900 Caton Avenue, Baltimore, MD 21229
	(410) 368-2514
	(410) 368-2640

Map and Direction

Provider's Profile

Full Name	Benjamin Alexander Sullivan
Gender	Male
Speciality	Physician Assistant
Location	900 Caton Avenue, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225196652
Provider Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971605791
Enrollment ID: I20070226000504

Medical Identifiers

Medical identifiers for Benjamin Alexander Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225196652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0003370 (Maryland)	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. Benjamin Alexander 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
Benjamin Alexander Sullivan, PA-C P.o. Box 21182, Baltimore, MD 21228 Ph: (410) 368-8640	Benjamin Alexander Sullivan, PA-C 900 Caton Avenue, Baltimore, MD 21229 Ph: (410) 368-2514

Reviews and Comments

Physician Assistant Nurses in Baltimore, MD

Bridgit Ann Mena, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Saint Paul Pl, Orthopedic And Joint Replacement, Baltimore, MD 21202 Phone: 410-539-2227
Pamela Kimzey Donohue, SCD, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Nelson 2-133, Baltimore, MD 21287 Phone: 410-955-5232
Nance J Fox, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 22 S Greene St, G2k36, Baltimore, MD 21201 Phone: 410-328-1170 Fax: 410-328-5642
Mr. Christopher David Schrieber, M.S., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 N Wolfe St, Marburg B-186, Baltimore, MD 21287 Phone: 410-955-8708
Jacqueline L. Hoover, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5601 Loch Raven Blvd, Baltimore, Baltimore, MD 21239 Phone: 443-444-4730
Mrs. Alvena Meshoine Sims, PA-C, MMS Physician Assistant Medicare: Medicare Enrolled Practice Location: 6701 N Charles St, Labor & Delivery, Baltimore, MD 21204 Phone: 443-849-2577
Rocio Solano Padilla, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 N Caroline St, Baltimore, MD 21205 Phone: 410-396-9410

Benjamin Alexander Sullivan, PA-C - Medicare Physician Assistant in Baltimore, MD