Mary-marie Austin Sullivan, MD in Provo, UT

Mary-marie Austin Sullivan, MD is a medicare enrolled "Family Medicine" physician in Provo, Utah. She went to University Of Utah School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1134 N 500 W Ste 102, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 341-5200.

Mary-marie Austin Sullivan is licensed to practice in Utah (license number 8380179-1205) 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 1770872319.

Contact Information

	Mary-marie Austin Sullivan, MD
	1134 N 500 W Ste 102, Provo, UT 84604-5569
	(801) 341-5200
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary-marie Austin Sullivan
Gender	Female
Speciality	Family Practice
Experience	13 Years
Location	1134 N 500 W Ste 102, Provo, Utah
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:

Mary-marie Austin Sullivan attended and graduated from University Of Utah School Of Medicine in 2011

NPI Data:

NPI Number: 1770872319
Provider Enumeration Date: 04/05/2011
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2961651211
Enrollment ID: I20121002000770

Medical Identifiers

Medical identifiers for Mary-marie Austin Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770872319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	8380179-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
American Fork Hospital	American fork, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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. Mary-marie Austin Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Mary-marie Austin 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
Mary-marie Austin Sullivan, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 341-5200	Mary-marie Austin Sullivan, MD 1134 N 500 W Ste 102, Provo, UT 84604-5569 Ph: (801) 341-5200

Reviews and Comments

Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601 Phone: 801-852-1443
Janee Namealoha Sells, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604 Phone: 385-375-8724
Dr. Marlin L Christianson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 West 940 North, Provo, UT 84604 Phone: 801-357-7930 Fax: 801-357-7014
Tyson Schwab, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604 Phone: 801-357-1770
Mr. Gregory Lawrence Nielsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604 Phone: 801-422-2771 Fax: 801-422-0761
Mr. Tyler Jason Fieldsted, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 W 940 N, Provo, UT 84604 Phone: 801-357-7926 Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, #201, Provo, UT 84604 Phone: 801-581-2000

Mary-marie Austin Sullivan, MD - Medicare Family Practice in Provo, UT