Mr James Leahy Sullivan, MD - Medicare Hospitalist in Fremont, NE

Mr James Leahy Sullivan, MD is a medicare enrolled "Family Medicine" physician in Fremont, Nebraska. He went to University Of Minnesota Medical School and graduated in 2001 and has 23 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Physicians Clinic Inc and his current practice location is 680 E Fremont Medical Park Dr, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 727-1091.

Mr James Leahy Sullivan is licensed to practice in Nebraska (license number 23377) 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 1538154141.

Contact Information

Mr James Leahy Sullivan, MD
680 E Fremont Medical Park Dr,
Fremont, NE 68025-2309
(402) 727-1091
(402) 727-7628

Map and Direction




Physician's Profile

Full NameMr James Leahy Sullivan
GenderMale
SpecialityHospitalist
Experience23 Years
Location680 E Fremont Medical Park Dr, Fremont, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr James Leahy Sullivan attended and graduated from University Of Minnesota Medical School in 2001
  NPI Data:
  • NPI Number: 1538154141
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 10/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2062416662
  • Enrollment ID: I20060913000473

Medical Identifiers

Medical identifiers for Mr James Leahy Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538154141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 23377 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Fremont Health Home CareFremont, NEHome health agency
Nye Home Health CareFremont, NEHome health agency
Fremont Health HospiceFremont, NEHospice
Methodist Fremont HealthFremont, NEHospital
Nye Legacy Health & Rehabilitation CenterFremont, NENursing home
Dunklau GardensFremont, NENursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Clinic Inc4880506062505

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. Mr James Leahy Sullivan allows following entities to bill medicare on his behalf.
Entity NamePhysicians Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20031105000345
Entity NameMemorial Health Care Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699845016
PECOS PAC ID: 3274528989
Enrollment ID: O20040420000611
Entity NameCommunity Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588771158
PECOS PAC ID: 9133101629
Enrollment ID: O20040607001378
Entity NameJennie M Melham Memorial Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538232244
PECOS PAC ID: 5799766440
Enrollment ID: O20071129000446
Entity NameCommunity Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1841204500
PECOS PAC ID: 9133101629
Enrollment ID: O20100908000859
Entity NameMethodist Fremont Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235618216
PECOS PAC ID: 7911258520
Enrollment ID: O20181017000110

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. Mr James Leahy 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 AddressPractice Location Address
Mr James Leahy Sullivan, MD
19321 Spyglass Ct,
Plattsmouth, NE 68048-7153

Ph: (402) 296-2868
Mr James Leahy Sullivan, MD
680 E Fremont Medical Park Dr,
Fremont, NE 68025-2309

Ph: (402) 727-1091

Reviews and Comments


Family Medicine Doctors in Fremont, NE

Dr. Andrea Vermaas, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 350 W 23rd St, Fremont, NE 68025
Phone: 402-721-7077    Fax: 402-753-6020
Dr. Bradley Steven Pfeifer, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 350 W 23rd St, Fremont, NE 68025
Phone: 608-845-9531    Fax: 608-845-8684
Dr. Robin J. Bernard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2740 N Clarkson St, Fremont, NE 68025
Phone: 402-721-0951    
Dr. Milo Victor Anderson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 350 W 23rd St, Suite D, Fremont, NE 68025
Phone: 402-721-8800    Fax: 402-753-6096
Luke Lansman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 680 E Fremont Medical Park Dr, Fremont, NE 68025
Phone: 402-815-7120    
Dr. Matthew A Beacom, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1625 E Military Ave, Fremont, NE 68025
Phone: 402-721-8830    Fax: 402-721-8840

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.