James H Sullivan, MD in Harvard, IL - Medicare Emergency Medicine

James H Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Harvard, Illinois. His current practice location is 901 Grant Street, Harvard, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 943-2693.

James H Sullivan is licensed to practice in Illinois (license number 036-097083) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891805081.

Contact Information

	James H Sullivan, MD
	901 Grant Street, Harvard, IL 60033-1821
	(815) 943-2693
	(815) 943-0659

Map and Direction

Physician's Profile

Full Name	James H Sullivan
Gender	Male
Speciality	Emergency Medicine
Location	901 Grant Street, Harvard, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891805081
Provider Enumeration Date: 08/30/2006
Last Update Date: 04/14/2015

Medicare PECOS Information:

PECOS PAC ID: 9133197452
Enrollment ID: I20040923000509

Medical Identifiers

Medical identifiers for James H Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891805081	NPI	-	NPPES
SULLIJAM	Other	WI	MERCYCARE INSURANCE
1891805081	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036-097083 (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. James H Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Rockford Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307

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. James H 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
James H Sullivan, MD 901 Grant Street, Harvard, IL 60033-1821 Ph: (815) 943-2693	James H Sullivan, MD 901 Grant Street, Harvard, IL 60033-1821 Ph: (815) 943-2693

Reviews and Comments

Emergency Medicine Doctors in Harvard, IL

Joseph H Levenstein, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 Fax: 815-943-0659
Dr. Mohammad Amir, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431
David F Kavanaugh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 Fax: 815-943-5460
Victor I Garber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 Fax: 815-943-0659

James H Sullivan, MD - Medicare Emergency Medicine in Harvard, IL