Dr Jillian E Sullivan, PHD, HSPP in Greenwood, IN - Medicare Clinical Psychologist Provider

Dr Jillian E Sullivan, PHD, HSPP is a medicare enrolled "Psychologist - Health" provider in Greenwood, Indiana. She went to Memphis Hospital Medical College and graduated in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Community Physicians Of Indiana Inc and her current practice location is 3000 S State Road 135, Suite 230, Greenwood, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 535-0728.

Dr Jillian E Sullivan is licensed to practice in Indiana (license number 20042704A) 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 1114357506.

Contact Information

	Dr Jillian E Sullivan, PHD, HSPP
	3000 S State Road 135, Suite 230, Greenwood, IN 46143-9607
	(317) 535-0728
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jillian E Sullivan
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	3000 S State Road 135, Greenwood, Indiana
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 Jillian E Sullivan attended and graduated from Memphis Hospital Medical College in 2012

NPI Data:

NPI Number: 1114357506
Provider Enumeration Date: 11/20/2013
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2466682935
Enrollment ID: I20140228000812

Medical Identifiers

Medical identifiers for Dr Jillian E Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114357506	NPI	-	NPPES
000000850729	Other	IN	ANTHEM BCBS
P01569147	Other	IN	RR MEDICARE
P01569147	Other	IN	RAILROAD PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20042704A (Indiana)	Secondary
103TC1900X	Psychologist - Counseling	20042704A (Indiana)	Secondary
103TH0004X	Psychologist - Health	20042704A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Physicians Of Indiana Inc	1759416662	1292

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 Jillian E Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Community Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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 Jillian E 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 Jillian E Sullivan, PHD, HSPP 6626 E 75th Street, Suite 500, Indianapolis, IN 46250-2890 Ph: () -	Dr Jillian E Sullivan, PHD, HSPP 3000 S State Road 135, Suite 230, Greenwood, IN 46143-9607 Ph: (317) 535-0728

Reviews and Comments

Psychologist in Greenwood, IN

Dr. Russ A Rasmussen, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 Library Blvd, Suite E, Greenwood, IN 46142 Phone: 317-889-5612 Fax: 317-889-5912
Elizabeth Youman, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4800 W Stones Crossing Rd, Greenwood, IN 46143 Phone: 317-881-1720
Alison Mcelwain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2111 Sheek Rd, Greenwood, IN 46143 Phone: 317-535-2069
Dr. Dana G. Lasek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 E Main St, Greenwood, IN 46143 Phone: 317-502-1608
Dr. Alfred Robert Barrow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 494 S Emerson Ave, Suite B, Greenwood, IN 46143 Phone: 317-888-0581 Fax: 317-888-6221
Robin Petkovich, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Smith Valley Rd Ste A8, Greenwood, IN 46142 Phone: 317-750-9797

Dr Jillian E Sullivan, PHD, HSPP - Medicare Psychologist in Greenwood, IN