Mallory Sullivan, DO is a family medicine in Waterville, NY with 13 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mallory Sullivan, DO NPI is 1124311360. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2011
The provider's business location address is:
117 W MAIN ST
SUITE 1
WATERVILLE, NY
ZIP 13480-165
Phone: (315) 841-4178
Fax: (315) 841-4338
The NPI 1124311360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
The enumeration date for this NPI number is 5/20/2011 and was last updated on 3/20/2017.