Dr Leo W Sullivan Ii, MD in Belleville, IL - Medicare Emergency Medicine

Dr Leo W Sullivan Ii, MD is a medicare enrolled "Emergency Medicine" physician in Belleville, Illinois. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Services Midwest Sc and his current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 257-5879.

Dr Leo W Sullivan Ii is licensed to practice in Illinois (license number 036068595) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851431670.

Contact Information

	Dr Leo W Sullivan Ii, MD
	4500 Memorial Dr, Belleville, IL 62226-5360
	(618) 257-5879
	(618) 257-6740

Map and Direction

Physician's Profile

Full Name	Dr Leo W Sullivan Ii
Gender	Male
Speciality	Emergency Medicine
Experience	42 Years
Location	4500 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Leo W Sullivan Ii graduated from medical school in 1982

NPI Data:

NPI Number: 1851431670
Provider Enumeration Date: 02/08/2007
Last Update Date: 01/06/2016

Medicare PECOS Information:

PECOS PAC ID: 1456548403
Enrollment ID: I20101203000302

Medical Identifiers

Medical identifiers for Dr Leo W Sullivan Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851431670	NPI	-	NPPES
930008245	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036068595 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital	Belleville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Services Midwest Sc	2769746056	20

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 Leo W Sullivan Ii allows following entities to bill medicare on his behalf.

Entity Name	Cepamerica Illinois Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587

Entity Name	Emergency Services Midwest Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619

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 Leo W Sullivan Ii 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 Leo W Sullivan Ii, MD 902 Monterey Dr, O Fallon, IL 62269-2833 Ph: (618) 624-8701	Dr Leo W Sullivan Ii, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-5879

Reviews and Comments

Emergency Medicine Doctors in Belleville, IL

Dr. Neil Mcclymont, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Memorial Hospital - Er, Belleville, IL 62226 Phone: 618-233-7750 Fax: 618-257-6860
Michelle M Vandorn, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4315 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Judith L Wuller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120
Dr. Djiby Diop, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740
Dr. Lundy Wade Colvert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740
Kristy L Holland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120
Dr. Robert W Mecker Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740

Dr Leo W Sullivan Ii, MD - Medicare Emergency Medicine in Belleville, IL