Mrs Elizabeth Gral Sullivan, MS/CCC-SLP in Mequon, WI - Medicare Speech-Language Pathologist Provider

Mrs Elizabeth Gral Sullivan, MS/CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mequon, Wisconsin. Her current practice location is 13111 North Port Washington Road, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 243-7444.

Mrs Elizabeth Gral Sullivan is licensed to practice in Wisconsin (license number 878-154) 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 1538103643.

Contact Information

	Mrs Elizabeth Gral Sullivan, MS/CCC-SLP
	13111 North Port Washington Road, Mequon, WI 53097
	(262) 243-7444
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Elizabeth Gral Sullivan
Gender	Female
Speciality	Speech-language Pathologist
Location	13111 North Port Washington Road, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538103643
Provider Enumeration Date: 06/16/2006
Last Update Date: 10/30/2012

Medicare PECOS Information:

PECOS PAC ID: 5799136552
Enrollment ID: I20240105003681

Medical Identifiers

Medical identifiers for Mrs Elizabeth Gral Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538103643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	878-154 (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. Mrs Elizabeth Gral Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Great Lakes Healthcare Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1184282618 PECOS PAC ID: 5395079719 Enrollment ID: O20190730000104

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. Mrs Elizabeth Gral 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
Mrs Elizabeth Gral Sullivan, MS/CCC-SLP 816 E Hyde Way, Fox Point, WI 53217-3221 Ph: (414) 352-6817	Mrs Elizabeth Gral Sullivan, MS/CCC-SLP 13111 North Port Washington Road, Mequon, WI 53097 Ph: (262) 243-7444

Reviews and Comments

Speech-Language Pathologist in Mequon, WI

Mrs. Kim Ann Glaser, MS CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-5757
Michelle Rivera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 403 W Mequon Rd, Mequon, WI 53092 Phone: 262-643-4771
Bloom Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1017 W Glen Oaks Ln Ste 140, Mequon, WI 53092 Phone: 414-533-8050
Mrs. Cindy Schultz Katzoff, M.A. SLP/CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10995 N Market St, Mequon, WI 53092 Phone: 262-478-1581
Milagros Caceres, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12600 Pt. Washington Rd, Newcastle Place, Mequon, WI 53092 Phone: 262-387-8800
Emily Smith, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1486 W Mequon Rd, Mequon, WI 53092 Phone: 262-241-8030
Ms. Gabriella C. Buchnik, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd, Suite 203, Mequon, WI 53092 Phone: 262-241-5955 Fax: 262-241-5926

Mrs Elizabeth Gral Sullivan, MS/CCC-SLP - Medicare Speech-Language Pathologist in Mequon, WI