Daniel L Sullivan, MD in Elkhart, IN - Medicare Emergency Medicine

Daniel L Sullivan, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Elkhart, Indiana. His current practice location is 600 East Blvd, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 523-3160.

Daniel L Sullivan is licensed to practice in Indiana (license number 100259050) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386612224.

Contact Information

	Daniel L Sullivan, MD
	600 East Blvd, Elkhart, IN 46514-2483
	(574) 523-3160
	Not Available

Map and Direction

Physician's Profile

Full Name	Daniel L Sullivan
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	600 East Blvd, Elkhart, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386612224
Provider Enumeration Date: 03/08/2006
Last Update Date: 04/04/2016

Medicare PECOS Information:

PECOS PAC ID: 9133198757
Enrollment ID: I20060203000562

Medical Identifiers

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

Identifier	Type	State	Issuer
1386612224	NPI	-	NPPES
100259050	Medicaid	IN
102668920	Medicaid	MI
000000082211	Other	IN	ANTHEM
010029958	Other	IN	RAIL ROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	100259050 (Indiana)	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. Daniel L Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Elite Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456

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. Daniel L 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
Daniel L Sullivan, MD Po Box 1241, South Bend, IN 46624-1241 Ph: (855) 691-9888	Daniel L Sullivan, MD 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 523-3160

Reviews and Comments

Emergency Medicine Doctors in Elkhart, IN

Nicole S Brunette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-273-1137
Matthew Terrence Michalski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3160
Dr. Jenna Renee Nofziger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621
Dr. Scott E Ludwig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-271-2558
Randall J Cammenga, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-523-3221
Dr. Eugene Huang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Johnson Street, Elkhart, IN 46514 Phone: 574-747-8004 Fax: 574-226-0795
David Erazo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161

Daniel L Sullivan, MD - Medicare Emergency Medicine in Elkhart, IN