Kelsey Elizabeth Sullivan Hoidal, MD in Phoenix, AZ

Kelsey Elizabeth Sullivan Hoidal, MD is a medicare enrolled "Surgery" physician in Phoenix, Arizona. Her current practice location is 1111 E Mcdowell Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 521-5944.

Kelsey Elizabeth Sullivan Hoidal is licensed to practice in Arizona (license number 68834) 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 1821448499.

Contact Information

	Kelsey Elizabeth Sullivan Hoidal, MD
	1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
	(602) 521-5944
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelsey Elizabeth Sullivan Hoidal
Gender	Female
Speciality	Surgery
Location	1111 E Mcdowell Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821448499
Provider Enumeration Date: 06/15/2016
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0042614257
Enrollment ID: I20230516000760

Medical Identifiers

Medical identifiers for Kelsey Elizabeth Sullivan Hoidal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821448499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	68834 (Arizona)	Secondary
208600000X	Surgery	68834 (Arizona)	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. Kelsey Elizabeth Sullivan Hoidal allows following entities to bill medicare on her behalf.

Entity Name	Banner - University Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476

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. Kelsey Elizabeth Sullivan Hoidal 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
Kelsey Elizabeth Sullivan Hoidal, MD 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 Ph: (502) 562-3000	Kelsey Elizabeth Sullivan Hoidal, MD 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 521-5944

Reviews and Comments

Surgery Doctors in Phoenix, AZ

Dr. Michael J Stumpf, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20940 N. Tatum Blvd. Ste #350, Phoenix, AZ 85050 Phone: 844-436-7874 Fax: 877-828-6834
Dr. Owen Thomas Mccabe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011
Ms. Kathleen Dolores Van Leeuwen, MD Surgery Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0016 Fax: 602-933-4309
Charles E Castillo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2320 N 3rd St, Phoenix, AZ 85004 Phone: 602-340-0201 Fax: 602-340-0367
Dr. Jeromy Brink, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6040 N 7th St Ste 105, Phoenix, AZ 85014 Phone: 602-277-7430 Fax: 602-279-5333
Gaby A P Iskander, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011
Yafei Ouyang, MD Surgery Medicare: Medicare Enrolled Practice Location: 1441 N 12th St Fl 1, Phoenix, AZ 85006 Phone: 602-521-5981

Kelsey Elizabeth Sullivan Hoidal, MD - Medicare Surgery in Phoenix, AZ