Dr Stephanie Sullivan, MD - Medicare Emergency Medicine in Normal, IL

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Dr Stephanie Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Normal, Illinois. Her current practice location is 1304 Franklin Ave, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 454-1400.

Dr Stephanie Sullivan is licensed to practice in Illinois (license number 125.063484) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073952396.

Contact Information

Dr Stephanie Sullivan, MD
1304 Franklin Ave,
Normal, IL 61761-3558
(309) 454-1400
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephanie Sullivan
GenderFemale
SpecialityEmergency Medicine
Location1304 Franklin Ave, Normal, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073952396
  • Provider Enumeration Date: 06/19/2013
  • Last Update Date: 08/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6507187358
  • Enrollment ID: I20160815002757

Medical Identifiers

Medical identifiers for Dr Stephanie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073952396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.063484 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Stephanie Sullivan allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NamePekin Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245355411
PECOS PAC ID: 4789676438
Enrollment ID: O20040401000798
Entity NameSt Mary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962467670
PECOS PAC ID: 8628038015
Enrollment ID: O20041011000420
Entity NameSaint Francis Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023062312
PECOS PAC ID: 9032021258
Enrollment ID: O20080303000228
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 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 AddressPractice Location Address
Dr Stephanie Sullivan, MD
1304 Franklin Ave,
Normal, IL 61761-3558

Ph: (309) 454-1400		Dr Stephanie Sullivan, MD
1304 Franklin Ave,
Normal, IL 61761-3558

Ph: (309) 454-1400

Reviews and Comments


Emergency Medicine Doctors in Normal, IL

Julie Lewis, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Emergency Department, Normal, IL 61761
Phone: 309-454-1400    
Dr. Thomas Pliura, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Virginia & Franklin Streets, Normal, IL 61761
Phone: 309-827-4321    
Dr. Melvin Ehrhardt, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Virginia & Franklin Streets, Normal, IL 61761
Phone: 309-827-4321    
Dr. Eric Wernsman, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Virgina & Franklin Streets, Normal, IL 61761
Phone: 309-827-4321    
Tomasz Przednowek,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-268-5130    
Dr. Parasakthi Kolandaivelu, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Virginia & Franklin Streets, Normal, IL 61761
Phone: 309-827-4321    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.