Joseph R Sullivan, DO is a medicare enrolled "Surgery" physician in St Francis, Wisconsin. He went to Lincoln Mem Univ, Debusk Col Of Osteopathic Med and graduated in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Watertown Physician Practices Llc, Little Company Of Mary Hospital Of Indiana Inc and his current practice location is
2000 E Layton Ave, St Francis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 744-6589.
Joseph R Sullivan is licensed to practice in Wisconsin (license number 65368-21) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295022903.
Physician's Profile
Full Name | Joseph R Sullivan |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 13 Years |
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Location | 2000 E Layton Ave, St Francis, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Joseph R Sullivan attended and graduated from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2011
NPI Data:
- NPI Number: 1295022903
- Provider Enumeration Date: 07/01/2011
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284923327
- Enrollment ID: I20160720002703
Medical Identifiers
Medical identifiers for Joseph R Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295022903 | NPI | - | NPPES |
100058377 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 65368-21 (Wisconsin) | Primary |
208600000X | Surgery | 5101019532 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Watertown Physician Practices Llc | 8022329408 | 56 |
Little Company Of Mary Hospital Of Indiana Inc | 4587578042 | 154 |
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. Joseph R Sullivan allows following entities to bill medicare on his behalf.
Entity Name | Watertown Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
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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. Joseph R 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 |
Joseph R Sullivan, DO 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-6589 | Joseph R Sullivan, DO 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-6589 |
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