Mrs Michelle K Sullivan, MS CCC-SLP is a
Speech-language Pathologist based in Jasper, New York. Mrs Michelle K Sullivan is licensed to practice in New York (license number 012816) and her current practice location is
3769 Ny-417, Jasper, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 792-3675.
NPI number for Mrs Michelle K Sullivan is 1023120730 and her current mailing address is 347 S Division St, Hornell, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023120730.
Healthcare Provider's Profile
Full Name | Mrs Michelle K Sullivan |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 3769 Ny-417, Jasper, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023120730
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 03/24/2016
Medical Identifiers
Medical identifiers for Mrs Michelle K Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023120730 | NPI | - | NPPES |
8911096 00 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA 8194 (Florida) | Secondary |
235Z00000X | Speech-language Pathologist | 012816 (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. Mrs Michelle K 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 |
Mrs Michelle K Sullivan, MS CCC-SLP 347 S Division St, Hornell, NY 14843-2135 Ph: (607) 654-0062 | Mrs Michelle K Sullivan, MS CCC-SLP 3769 Ny-417, Jasper, NY 14855 Ph: (607) 792-3675 |
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