Laura Sullivan, PT in Hartford, WI - Medicare Physical Therapist Provider

Laura Sullivan, PT is a medicare enrolled "Physical Therapist" provider in Hartford, Wisconsin. Her current practice location is 110 Lone Oak Ln, Hartford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 670-1800.

Laura Sullivan is licensed to practice in Wisconsin (license number 12507-24) 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 1912337502.

Contact Information

	Laura Sullivan, PT
	110 Lone Oak Ln, Hartford, WI 53027-2600
	(262) 670-1800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Sullivan
Gender	Female
Speciality	Physical Therapist
Location	110 Lone Oak Ln, Hartford, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912337502
Provider Enumeration Date: 11/18/2013
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9032429824
Enrollment ID: I20151106001147

Medical Identifiers

Medical identifiers for Laura Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912337502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12507-24 (Wisconsin)	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. Laura Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Laura 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
Laura Sullivan, PT 110 Lone Oak Ln, Hartford, WI 53027-2600 Ph: (262) 670-1800	Laura Sullivan, PT 110 Lone Oak Ln, Hartford, WI 53027-2600 Ph: (262) 670-1800

Reviews and Comments

Physical Therapist in Hartford, WI

Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 Bell Ave, Hartford, WI 53027 Phone: 800-444-6845 Fax: 479-478-2852
Jenna L Koeppel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-670-4300 Fax: 262-670-4303
Janet L Temmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-670-7000
Gretchen Rakowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-836-6390 Fax: 262-836-6350
Kristine M Erickson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-7550
Shannon Marie Coulter, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-670-4300
Tess Cederholm, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-670-1800

Laura Sullivan, PT - Medicare Physical Therapist in Hartford, WI