Elise D Sullivan, MD in Craig, CO - Medicare Family Practice

Elise D Sullivan, MD is a medicare enrolled "Family Medicine" physician in Craig, Colorado. She went to University Of Colorado School Of Medicine, Denver and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Memorial Hospital and her current practice location is 785 Russell St, Craig, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 826-2400.

Elise D Sullivan is licensed to practice in Colorado (license number 54286) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538365986.

Contact Information

	Elise D Sullivan, MD
	785 Russell St, Craig, CO 81625-2019
	(970) 826-2400
	(970) 826-8010

Map and Direction

Physician's Profile

Full Name	Elise D Sullivan
Gender	Female
Speciality	Family Practice
Experience	17 Years
Location	785 Russell St, Craig, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elise D Sullivan attended and graduated from University Of Colorado School Of Medicine, Denver in 2007

NPI Data:

NPI Number: 1538365986
Provider Enumeration Date: 06/22/2007
Last Update Date: 12/22/2015

Medicare PECOS Information:

PECOS PAC ID: 5890933386
Enrollment ID: I20150129001612

Medical Identifiers

Medical identifiers for Elise D Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538365986	NPI	-	NPPES
34877215	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	54286 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital, The	Craig, CO	Hospital
Sandrock Ridge Care And Rehab	Craig, CO	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Memorial Hospital	1254231533	43

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. Elise D Sullivan allows following entities to bill medicare on her behalf.

Entity Name	The Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063418424 PECOS PAC ID: 1254231533 Enrollment ID: O20040112000299

Entity Name	Providence Recovery Service Of Colorado Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306408216 PECOS PAC ID: 8123454576 Enrollment ID: O20200204001390

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. Elise D 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 Address	Practice Location Address
Elise D Sullivan, MD 750 Hospital Loop, Craig, CO 81625-8750 Ph: (970) 826-2400	Elise D Sullivan, MD 785 Russell St, Craig, CO 81625-2019 Ph: (970) 826-2400

Reviews and Comments

Family Medicine Doctors in Craig, CO

Aaron Barker Stewart, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Hospital Loop, Craig, CO 81625 Phone: 970-826-2400 Fax: 970-826-2439
Dr. Joel E Miller, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 535 Yampa Ave, Ste 300, Craig, CO 81625 Phone: 970-824-6530 Fax: 970-826-0915
Mrs. Anna C Lundeen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Russell St., Craig, CO 81625 Phone: 970-824-8233 Fax: 970-824-2548
Jillian M. Hess, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Hospital Loop, Craig, CO 81625 Phone: 970-824-9411
Mary Shannon Clow Becker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 Russell St, Craig, CO 81625 Phone: 970-826-0911 Fax: 970-826-0910
Dr. Thomas N Told, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 580 Pershing St, Craig, CO 81625 Phone: 970-824-3213 Fax: 970-824-6476

Elise D Sullivan, MD - Medicare Family Practice in Craig, CO