Michael J Sullivan, PA-C | |
4700 Memorial Dr Ste 340, Belleville, IL 62226-5373 | |
(618) 234-9884 | |
Not Available |
Full Name | Michael J Sullivan |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 10 Years |
Location | 4700 Memorial Dr Ste 340, Belleville, Illinois |
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 |
---|---|---|---|
1881097236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Mailing Address | Practice Location Address |
---|---|
Michael J Sullivan, PA-C 4500 Memorial Drive, Memorial Hospital Medical Affairs, Belleville, IL 62226 Ph: (618) 257-4644 | Michael J Sullivan, PA-C 4700 Memorial Dr Ste 340, Belleville, IL 62226-5373 Ph: (618) 234-9884 |
Kim C Wrigley, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 340, Belleville, IL 62226 Phone: 618-234-9884 | |
Lance L Lane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7700 | |
Miss Kristina Klaverkamp, MSPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223 Phone: 618-355-0880 | |
Kevin Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371 | |
Molly Claire Wade, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226 Phone: 618-222-1020 | |
Jenna Dornak, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 | |
Jean Schumaker, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 W Lincoln St, Suite 540, Belleville, IL 62220 Phone: 618-222-1341 Fax: 618-222-1487 |