Wade Allan Sullivan, RN is a
Registered Nurse based in Vermontville, New York. Wade Allan Sullivan is licensed to practice in New York (license number 672023) and his current practice location is
393 Swinyer Rd, Vermontville, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 332-9453.
NPI number for Wade Allan Sullivan is 1033667233 and his current mailing address is 393 Swinyer Rd, Vermontville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033667233.
Provider's Profile
| Full Name | Wade Allan Sullivan |
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| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 393 Swinyer Rd, Vermontville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033667233
- Provider Enumeration Date: 09/15/2016
- Last Update Date: 09/15/2016
Medical Identifiers
Medical identifiers for Wade Allan Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033667233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 672023 (New York) | 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. Wade Allan Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wade Allan Sullivan, RN
393 Swinyer Rd,
Vermontville, NY 12989-3803
Ph: (518) 332-9453 | Wade Allan Sullivan, RN
393 Swinyer Rd,
Vermontville, NY 12989-3803
Ph: (518) 332-9453 |
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