Dr Jenna Lelsey Sullivan, OD in Kaukauna, WI - Medicare Optometry Provider

Dr Jenna Lelsey Sullivan, OD is a medicare enrolled "Optometrist" provider in Kaukauna, Wisconsin. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Magiera Eyecare Llc and her current practice location is 1 Bank Ave, Kaukauna, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 766-2481.

Dr Jenna Lelsey Sullivan is licensed to practice in Wisconsin (license number 3564-35) 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 1366936932.

Contact Information

	Dr Jenna Lelsey Sullivan, OD
	1 Bank Ave, Kaukauna, WI 54130-2581
	(920) 766-2481
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jenna Lelsey Sullivan
Gender	Female
Speciality	Optometry
Experience	6 Years
Location	1 Bank Ave, Kaukauna, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jenna Lelsey Sullivan graduated from medical school in 2018

NPI Data:

NPI Number: 1366936932
Provider Enumeration Date: 06/18/2018
Last Update Date: 07/02/2019

Medicare PECOS Information:

PECOS PAC ID: 8527393412
Enrollment ID: I20190715003001

Medical Identifiers

Medical identifiers for Dr Jenna Lelsey Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366936932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3564-35 (Wisconsin)	Primary
152W00000X	Optometrist	OPC5544 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Magiera Eyecare Llc	6406950690	2

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 Jenna Lelsey Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Magiera Eyecare Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831636828 PECOS PAC ID: 6406950690 Enrollment ID: O20070329000532

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 Jenna Lelsey 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 Jenna Lelsey Sullivan, OD 2331 Willow Drop Way, Oviedo, FL 32766-7083 Ph: (732) 684-2761	Dr Jenna Lelsey Sullivan, OD 1 Bank Ave, Kaukauna, WI 54130-2581 Ph: (920) 766-2481

Reviews and Comments

Optometrist in Kaukauna, WI

Kaukauna Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481 Fax: 920-766-3769
Dr. Mark Arthur Ebben, OD OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481 Fax: 920-766-3769
Dr. Mary Kathryn Schroeder, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481
Magiera Eyecare Llc. Optometrist Medicare: Medicare Enrolled Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481
David G Vanderloop Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130 Phone: 920-372-2555 Fax: 920-949-4025
Clear Approach Optometry Sc Optometrist Medicare: Medicare Enrolled Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130 Phone: 920-372-2555 Fax: 920-949-4025

Dr Jenna Lelsey Sullivan, OD - Medicare Optometrist in Kaukauna, WI