Mrs Misha Sullivan, PA-C, ATC in Manchester, NH

Mrs Misha Sullivan, PA-C, ATC is a medicare enrolled "Physician Assistant" in Manchester, New Hampshire. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Elliot Professional Services and her current practice location is 185 Queen City Ave, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 625-1655.

Mrs Misha Sullivan is licensed to practice in New Hampshire (license number 0845) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760519698.

Contact Information

	Mrs Misha Sullivan, PA-C, ATC
	185 Queen City Ave, Manchester, NH 03101-7121
	(603) 625-1655
	(603) 626-4686

Map and Direction

Provider's Profile

Full Name	Mrs Misha Sullivan
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	185 Queen City Ave, Manchester, New Hampshire
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Misha Sullivan graduated from nursing school in 2011

NPI Data:

NPI Number: 1760519698
Provider Enumeration Date: 02/27/2007
Last Update Date: 09/30/2011

Medicare PECOS Information:

PECOS PAC ID: 4789855560
Enrollment ID: I20110928000084

Medical Identifiers

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

Identifier	Type	State	Issuer
1760519698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0845 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elliot Hospital	Manchester, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elliot Professional Services	6103727920	314

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. Mrs Misha 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
Mrs Misha Sullivan, PA-C, ATC 185 Queen City Ave, Manchester, NH 03101-7121 Ph: () -	Mrs Misha Sullivan, PA-C, ATC 185 Queen City Ave, Manchester, NH 03101-7121 Ph: (603) 625-1655

Reviews and Comments

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Mrs Misha Sullivan, PA-C, ATC - Medicare Physician Assistant in Manchester, NH