Len Sullivan, PA in Taylor, TX - Medicare Physician Assistant

Len Sullivan, PA is a medicare enrolled "Physician Assistant" in Taylor, Texas. His current practice location is 305 Mallard Ln, Taylor, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 352-7611.

Len Sullivan is licensed to practice in Texas (license number PA11712) 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 1326198110.

Contact Information

	Len Sullivan, PA
	305 Mallard Ln, Taylor, TX 76574-1208
	(512) 352-7611
	(512) 352-2196

Map and Direction

Provider's Profile

Full Name	Len Sullivan
Gender	Male
Speciality	Physician Assistant
Location	305 Mallard Ln, Taylor, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326198110
Provider Enumeration Date: 01/12/2007
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5294736138
Enrollment ID: I20111019000028

Medical Identifiers

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

Identifier	Type	State	Issuer
1326198110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	00703 (Connecticut)	Secondary
363AM0700X	Physician Assistant - Medical	902 (Massachusetts)	Secondary
363A00000X	Physician Assistant	PA11712 (Texas)	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. Len 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
Len Sullivan, PA Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111	Len Sullivan, PA 305 Mallard Ln, Taylor, TX 76574-1208 Ph: (512) 352-7611

Reviews and Comments

Physician Assistant Nurses in Taylor, TX

Frances L. Elizondo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 512-352-7611 Fax: 512-352-4734
Sarai Albert, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 512-352-7611 Fax: 512-352-4734
Steven R Fowler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Mallard Ln Ste A, Taylor, TX 76574 Phone: 737-270-7730 Fax: 737-270-7731
Kirsten Fishbeck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 403 Mallard Ln, Taylor, TX 76574 Phone: 512-352-4000
Mr. Ismael Flecha Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 254-724-2111
Minh Ngo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Mallard Ln, Taylor, TX 76574 Phone: 512-352-7611

Len Sullivan, PA - Medicare Physician Assistant in Taylor, TX