Pamela Ann Sullivan, MD - Medicare Obstetrics & Gynecology in Lake St. Louis, MO

  1. Home
  2. Obstetrics & Gynecology
  3. MO
  4. Lake St. Louis
Pamela Ann Sullivan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lake St. Louis, Missouri. Her current practice location is 1000 Edgewater Pointe, Suite: 200, Lake St. Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 561-8088.

Pamela Ann Sullivan is licensed to practice in Missouri (license number 106412) 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 1033187828.

Contact Information

Pamela Ann Sullivan, MD
1000 Edgewater Pointe, Suite: 200,
Lake St. Louis, MO 63367
(636) 561-8088
(636) 561-1405

Map and Direction




Physician's Profile

Full NamePamela Ann Sullivan
GenderFemale
SpecialityObstetrics & Gynecology
Location1000 Edgewater Pointe, Lake St. Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033187828
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 12/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6204025364
  • Enrollment ID: I20120307000351

Medical Identifiers

Medical identifiers for Pamela Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033187828NPI-NPPES
208094821MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 106412 (Missouri)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. Pamela Ann Sullivan allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameHeartland Women's Healthcare Mo Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588191431
PECOS PAC ID: 7618236415
Enrollment ID: O20180124003159

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. Pamela Ann 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
Pamela Ann Sullivan, MD
1000 Edgewater Pointe, Suite - 200,
Lake St. Louis, MO 63367

Ph: (636) 561-8088		Pamela Ann Sullivan, MD
1000 Edgewater Pointe, Suite: 200,
Lake St. Louis, MO 63367

Ph: (636) 561-8088

Reviews and Comments


Obstetrics & Gynecology Doctors in Lake St. Louis, MO

Nanci Jayne Bucy, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1000 Edgewater Pointe, Suite 200, Lake St. Louis, MO 63367
Phone: 636-561-8088    Fax: 636-561-1405

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.