Patricia L Sullivan (NPI# 1023182789, PAC ID# 0749177194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1023182789 |
PAC ID by PECOS | 0749177194 |
Professional Enrollment ID | I20040302000121 |
Full Name | Patricia L Sullivan |
Organization Legal Name | MEDICAL CONSULTANTS OF PITTSBURG, INC |
Address |
608 Willard St Frontenac KS 66763-2120 |
Phone Number | 6202318849 |
Gender | F |
Credential | NP |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2860393196 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
170120 | LABETTE HEALTH |
Address | Phone | Organization |
---|---|---|
608 Willard St, Frontenac, KS 66763-2120 | 6202318849 | MEDICAL CONSULTANTS OF PITTSBURG, INC |
Organization Legal Name | MEDICAL CONSULTANTS OF PITTSBURG, INC |
Physicians | 1 |
Street Address |
608 WILLARD ST |
City | FRONTENAC |
State | KS |
Zip | 66763-2120 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel L Stevens | Family Medicine | Hospital District No 1 Crawford County | 1011 N 69 Hwy, Frontenac (pittsburg), KS 66763 |
Glen V Saving Jr. | Psychologist, Clinical | Key Rehabilitation Inc | 206 S Dittman St, Frontenac, KS 66763-2253 |
Michael R Simmons | Family Practice | 1026 N Hwy 69, Frontenac, KS 66763-8100 |
City | FRONTENAC |
Zip Code | 66763 |
Specialty | NURSE PRACTITIONER |
City + Specialty | FRONTENAC + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.