Dr Stephanie Ann Sullivan, DNP, CRNA in Peoria, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Stephanie Ann Sullivan, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Peoria, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Methodist Medical Center Of Illinois, Decatur Memorial Hospital, Associated Anesthesiologists Sc and her current practice location is Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 672-5522.

Dr Stephanie Ann Sullivan is licensed to practice in Illinois (license number 209.015654) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1568901544.

Contact Information

	Dr Stephanie Ann Sullivan, DNP, CRNA
	Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001
	(309) 672-5522
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Stephanie Ann Sullivan
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	Unity Point Health Methodist, Peoria, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Stephanie Ann Sullivan graduated from nursing school in 2016

NPI Data:

NPI Number: 1568901544
Provider Enumeration Date: 02/23/2017
Last Update Date: 02/23/2017

Medicare PECOS Information:

PECOS PAC ID: 7911284187
Enrollment ID: I20170426001897

Medical Identifiers

Medical identifiers for Dr Stephanie Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568901544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.015654 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Memorial Hospital	Decatur, IL	Hospital
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist Medical Center Of Illinois	1355259714	246
Decatur Memorial Hospital	6204731144	135
Associated Anesthesiologists Sc	6305744129	127

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. Dr Stephanie Ann Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Decatur Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548357973 PECOS PAC ID: 6204731144 Enrollment ID: O20031208000534

Entity Name	Associated Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164474755 PECOS PAC ID: 1355259714 Enrollment ID: O20070924000481

Entity Name	Anesthesia Pain Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180

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. Dr Stephanie 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 Address	Practice Location Address
Dr Stephanie Ann Sullivan, DNP, CRNA 2305 W Madera Ct, Peoria, IL 61614-1445 Ph: (309) 360-5827	Dr Stephanie Ann Sullivan, DNP, CRNA Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 Ph: (309) 672-5522

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Peoria, IL

Melissa Terhark, C.R.N.A Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615 Phone: 309-692-5394 Fax: 309-692-2538
Bradley Alan Kirkenir, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 217-528-7541
Mathew J Maupin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 N. Knoxville Suite 416, Peoria, IL 61528 Phone: 309-692-7246 Fax: 309-692-7226
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550
Dr. Samantha Mae Aufderhaar, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538

Dr Stephanie Ann Sullivan, DNP, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Peoria, IL