Dr Susan Sullivan, MD - Medicare Pediatrics in Bentonville, AR

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Dr Susan Sullivan, MD is a medicare enrolled "Pediatrics" physician in Bentonville, Arkansas. Her current practice location is 3101 Se 14th St, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 636-9234.

Dr Susan Sullivan is licensed to practice in Arkansas (license number E-7987) 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 1154647238.

Contact Information

Dr Susan Sullivan, MD
3101 Se 14th St,
Bentonville, AR 72712-4900
(479) 636-9234
(479) 636-0774

Map and Direction




Physician's Profile

Full NameDr Susan Sullivan
GenderFemale
SpecialityPediatrics
Location3101 Se 14th St, Bentonville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154647238
  • Provider Enumeration Date: 04/14/2010
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840433397
  • Enrollment ID: I20130830000585

Medical Identifiers

Medical identifiers for Dr Susan Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154647238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics E-7987 (Arkansas)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 Susan Sullivan allows following entities to bill medicare on her behalf.
Entity NameMercy Health Northwest Arkansas Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265490916
PECOS PAC ID: 0648177873
Enrollment ID: O20031216000788
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588654016
PECOS PAC ID: 4082528955
Enrollment ID: O20031219000706
Entity NameMercy Health Northwest Arkansas Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699076737
PECOS PAC ID: 0648177873
Enrollment ID: O20110330000454

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 Susan 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 Susan Sullivan, MD
3101 Se 14th St,
Bentonville, AR 72712-4900

Ph: (479) 636-9234		Dr Susan Sullivan, MD
3101 Se 14th St,
Bentonville, AR 72712-4900

Ph: (479) 636-9234

Reviews and Comments


Pediatrics Doctors in Bentonville, AR

Dr. Jeffrey Allen Savage, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1502 Se 28th Street, Suite 2, Bentonville, AR 72712
Phone: 479-282-2966    
Dr. James Gavin Scherer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3101 Se 14th St, Bentonville, AR 72712
Phone: 479-636-9234    Fax: 479-636-0774
Shanica Nembhard,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3101 Se 14th St, Bentonville, AR 72712
Phone: 479-636-9234    Fax: 479-636-0774
Dr. Shannon Arleese Jewell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3101 Se 14th St, Bentonville, AR 72712
Phone: 479-636-9234    Fax: 479-636-0774
Dr. Jason B. Foster, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2719 Se I St, Bentonville, AR 72712
Phone: 479-273-5437    Fax: 479-273-9932
Yancy Craft, MD, MPH
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2719 Se I St, Bentonville, AR 72712
Phone: 479-273-5437    Fax: 479-273-9932

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.