Stacey J Sullivan, MD - Medicare Family Practice in Scottsdale, AZ

Stacey J Sullivan, MD is a medicare enrolled "Family Medicine" physician in Scottsdale, Arizona. She went to Rutgers New Jersey Medical School and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Synergy Physicians, Pllc and her current practice location is 9070 E Desert Cove Ave Ste A102, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 553-6168.

Stacey J Sullivan is licensed to practice in Arizona (license number 32083) 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 1447284088.

Contact Information

Stacey J Sullivan, MD
9070 E Desert Cove Ave Ste A102,
Scottsdale, AZ 85260-6227
(480) 553-6168
(480) 590-6235

Map and Direction




Physician's Profile

Full NameStacey J Sullivan
GenderFemale
SpecialityFamily Practice
Experience23 Years
Location9070 E Desert Cove Ave Ste A102, Scottsdale, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey J Sullivan attended and graduated from Rutgers New Jersey Medical School in 2001
  NPI Data:
  • NPI Number: 1447284088
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 07/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991793754
  • Enrollment ID: I20040503000446

Medical Identifiers

Medical identifiers for Stacey J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447284088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 32083 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John C. Lincoln North Mountain HospitalPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Synergy Physicians, Pllc21638594228

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. Stacey J Sullivan allows following entities to bill medicare on her behalf.
Entity Name4c Medical Group Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558654384
PECOS PAC ID: 2769653641
Enrollment ID: O20110926000641
Entity NameSynergy Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083271746
PECOS PAC ID: 2163859422
Enrollment ID: O20200226000518

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. Stacey J 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
Stacey J Sullivan, MD
9070 E Desert Cove Ave Ste A102,
Scottsdale, AZ 85260-6227

Ph: (480) 553-6168
Stacey J Sullivan, MD
9070 E Desert Cove Ave Ste A102,
Scottsdale, AZ 85260-6227

Ph: (480) 553-6168

Reviews and Comments


Family Medicine Doctors in Scottsdale, AZ

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Dr. Ronald Lewis Peters, MD, MPH
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Phone: 480-607-7999    Fax: 480-607-7998

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.