Maria Sullivan, PA-C | |
3440 De Paul Ln Ste 113, Bridgeton, MO 63044-3546 | |
(314) 942-6464 | |
Not Available |
Full Name | Maria Sullivan |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 3440 De Paul Ln Ste 113, Bridgeton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710541040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA56937 (California) | Secondary |
363AM0700X | Physician Assistant - Medical | 2020030529 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Maria Sullivan, PA-C 3440 De Paul Ln Ste 113, Bridgeton, MO 63044-3546 Ph: () - | Maria Sullivan, PA-C 3440 De Paul Ln Ste 113, Bridgeton, MO 63044-3546 Ph: (314) 942-6464 |
Mr. Blessing Kudakwashe Tupiri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-647-8269 | |
Spencer Blondeaux, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12409 Saint Charles Rock Rd, Bridgeton, MO 63044 Phone: 636-429-0999 | |
Ms. Jennifer Cafi, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 314-344-6840 | |
Daniel Zackary Souvannarath, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-209-5171 | |
Heather Ann Schmitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 | |
Madelyn Tegerdine, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 | |
Mrs. Amber Renee Johnson, PAC MMS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 460, Bridgeton, MO 63044 Phone: 314-770-1844 Fax: 314-770-1843 |