Dr Matthew Ryan Sullivan, OD | |
980 Willow Creek Road, Suite 202, Prescott, AZ 86301-1610 | |
(928) 778-3937 | |
(928) 778-3939 |
Full Name | Dr Matthew Ryan Sullivan |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 24 Years |
Location | 980 Willow Creek Road, Prescott, Arizona |
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 |
---|---|---|---|
1053311472 | NPI | - | NPPES |
1053311472 | Other | AZ | INDIVIDUAL NPI |
410045761 | Other | AZ | RAILROAD |
1285813360 | Other | AZ | GROUP NPI |
64294 | Other | AZ | MEDICARE GROUP NUMBER |
1102 | Other | AZ | STATE LICENSE |
620353 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1102 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Matthew R Sullivan Od Pc | 0749275378 | 4 |
Provider Name | Matthew R Sullivan Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285813360 PECOS PAC ID: 0749275378 Enrollment ID: O20040414001843 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Ryan Sullivan, OD 980 Willow Creek Road, Suite 202, Prescott, AZ 86301-1610 Ph: (928) 778-3937 | Dr Matthew Ryan Sullivan, OD 980 Willow Creek Road, Suite 202, Prescott, AZ 86301-1610 Ph: (928) 778-3937 |
Derek Jeanes, Optometrist Medicare: Medicare Enrolled Practice Location: 3192 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-1234 Fax: 602-508-4830 | |
Dr. Patrick Allen Willer, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3911 E State Route 69, Prescott, AZ 86301 Phone: 928-442-0707 | |
Dr. Frank V. Mellblom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: V.a. Medical Center Navahcs, 500 N Hwy 89, Prescott, AZ 86314 Phone: 928-445-4860 | |
Dr. Monica Rae Stotler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1727 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-717-3259 | |
Geiler And Geiler, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Willow Creek Rd, Ste J, Prescott, AZ 86301 Phone: 928-445-2060 Fax: 925-445-2067 | |
Jonathan Lam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-717-7477 |