Michael E Sullivan, MD in Watertown, WI - Medicare Family Practice

Michael E Sullivan, MD is a medicare enrolled "Family Medicine" physician in Watertown, Wisconsin. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Oak Medical Sc, Watertown Family Practice Associates, Sc and his current practice location is 127 Hospital Dr, Watertown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 261-8500.

Michael E Sullivan is licensed to practice in Wisconsin (license number 46656) 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 1093883142.

Contact Information

	Michael E Sullivan, MD
	127 Hospital Dr, Watertown, WI 53098-3303
	(920) 261-8500
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael E Sullivan
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	127 Hospital Dr, Watertown, Wisconsin
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:

Michael E Sullivan attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2001

NPI Data:

NPI Number: 1093883142
Provider Enumeration Date: 11/30/2006
Last Update Date: 04/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1153308887
Enrollment ID: I20040701000385

Medical Identifiers

Medical identifiers for Michael E Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093883142	NPI	-	NPPES
34560600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	46656 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marquardt Home Health	Watertown, WI	Home health agency
Marquardt Hospice	Watertown, WI	Hospice
Watertown Memorial Hospital	Watertown, WI	Hospital
Waukesha Memorial Hospital	Waukesha, WI	Hospital
Oconomowoc Memorial Hospital	Oconomowoc, WI	Hospital
Fort Memorial Hospital	Fort atkinson, WI	Hospital
Marquardt Memorial Manor	Watertown, WI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oak Medical Sc	0042595175	87
Watertown Family Practice Associates, Sc	4183608037	9

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. Michael E Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Watertown Family Practice Associates, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811064942 PECOS PAC ID: 4183608037 Enrollment ID: O20040617000150

Entity Name	Oak Medical Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848

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. Michael E 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
Michael E Sullivan, MD 127 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-8500	Michael E Sullivan, MD 127 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-8500

Reviews and Comments

Family Medicine Doctors in Watertown, WI

Dr. Robert Steven Legrow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 Fax: 920-261-8828
Dr. Michael A Grajewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 Doctors Ct, Watertown, WI 53094 Phone: 920-261-4111 Fax: 920-261-8387
John R Basarich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 Fax: 920-261-8828
Danielle G. Tonelli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 Fax: 920-261-8828
Richard C Holden, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500
Quinn C Burton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Watertown, WI 53094 Phone: 262-472-1300

Michael E Sullivan, MD - Medicare Family Practice in Watertown, WI