Dr Stephanie Theresa Sullivan, OD is a medicare enrolled "Optometrist" provider in Spencer, Massachusetts. Her current practice location is
177 Main St, Spencer, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 885-2219.
Dr Stephanie Theresa Sullivan is licensed to practice in Massachusetts (license number 5686) 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 1942720826.
Healthcare Provider's Profile
Full Name | Dr Stephanie Theresa Sullivan |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 177 Main St, Spencer, Massachusetts |
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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:
- Dr Stephanie Theresa Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1942720826
- Provider Enumeration Date: 06/22/2017
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Stephanie Theresa Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942720826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 3022 (Connecticut) | Secondary |
152W00000X | Optometrist | 5686 (Massachusetts) | 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. Dr Stephanie Theresa 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 |
Dr Stephanie Theresa Sullivan, OD 4 Joanna Dr, Rutland, MA 01543-1245 Ph: () - | Dr Stephanie Theresa Sullivan, OD 177 Main St, Spencer, MA 01562-1711 Ph: (508) 885-2219 |
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