Annette Nichole Sullivan, MD in Mankato, MN - Medicare Micrographic Dermatologic Surgery (mds)

Annette Nichole Sullivan, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Mankato, Minnesota. She went to Indiana University School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice Mayo Clinic Health System-southwest Minnesota Region and her current practice location is 1025 Marsh St, Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 625-4031.

Annette Nichole Sullivan is licensed to practice in Minnesota (license number 71763) 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 1316328719.

Contact Information

	Annette Nichole Sullivan, MD
	1025 Marsh St, Mankato, MN 56001-4752
	(507) 625-4031
	Not Available

Map and Direction

Physician's Profile

Full Name	Annette Nichole Sullivan
Gender	Female
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	10 Years
Location	1025 Marsh St, Mankato, Minnesota
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:

Annette Nichole Sullivan attended and graduated from Indiana University School Of Medicine in 2015

NPI Data:

NPI Number: 1316328719
Provider Enumeration Date: 06/11/2015
Last Update Date: 06/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6800199985
Enrollment ID: I20220628002303

Medical Identifiers

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

Identifier	Type	State	Issuer
1316328719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	71763 (Minnesota)	Secondary
207R00000X	Internal Medicine	125066220 (Illinois)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	71763 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Health System - Mankato	Mankato, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic Health System-southwest Minnesota Region	4688585771	605

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. Annette Nichole Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

Entity Name	Mayo Clinic Health System-southwest Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134

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. Annette Nichole 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
Annette Nichole Sullivan, MD Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511	Annette Nichole Sullivan, MD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031

Reviews and Comments

Dermatology Doctors in Mankato, MN

Donald E Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56002 Phone: 507-625-1811
Maesee Marie Hodgkins, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 100aa, Mankato, MN 56001 Phone: 507-594-9626
Miss Meagan Ashley Norberta Klyn, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Lorraine Jean Griffin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave, Suite 400a, Mankato, MN 56001 Phone: 507-625-1811
Erisa Alia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 400a, Mankato, MN 56001 Phone: 507-389-8538

Annette Nichole Sullivan, MD - Medicare Micrographic Dermatologic Surgery (mds) in Mankato, MN