Dr Jenna Lelsey Sullivan, OD in Kaukauna, WI

Dr Jenna Lelsey Sullivan, OD is a medicare enrolled "Optometrist" provider in Kaukauna, Wisconsin. 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
Experience	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 attended and graduated from in

NPI Data:

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

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

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

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

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