| Sullivan And Partners | |
|
2204 Pavilion Dr Ste 108 Kingsport TN 37660-4651 | |
| (423) 392-6100 | |
| (423) 392-0803 |
| Full Name | Sullivan And Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 2204 Pavilion Dr Ste 108, Kingsport, Tennessee |
| Authorized Official Name and Position | Penny Leigh Lloyd (ADMINISTRATOR) |
| Authorized Official Contact | 4233926100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan And Partners 2204 Pavilion Dr Ste 108 Kingsport TN 37660-4651 Ph: (423) 392-6100 | Sullivan And Partners 2204 Pavilion Dr Ste 108 Kingsport TN 37660-4651 Ph: (423) 392-6100 |
| NPI Number | 1003981093 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 5890875264 |
|---|---|
| Medicare Enrollment ID | O20080110000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003981093 | NPI | - | NPPES |
| 3703535 | Medicaid | TN | |
| 154366 | Other | BCBSTN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael Jude Sullivan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326023078 PECOS PAC ID: 5799865176 Enrollment ID: I20110214000142 |
| Provider Name | James Wesley Denham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902088644 PECOS PAC ID: 3870755804 Enrollment ID: I20120508000555 |
| Provider Name | Megan Lynne Boatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629655063 PECOS PAC ID: 7719396936 Enrollment ID: I20210429000574 |
| Provider Name | Shonna Jo Morenings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972134021 PECOS PAC ID: 7416355078 Enrollment ID: I20211012001972 |
Wps Providers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034 | |
Tri-cities Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10461 Wallace Alley St, Kingsport, TN 37663 Phone: 423-279-1400 | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693 | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489 | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100 |