Donald Nicholas Sullivan, MD - Medicare Orthopedic Surgery in Mt Zion, IL

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Donald Nicholas Sullivan, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mt Zion, Illinois. He went to Southern College Of Medicine And Surgery and graduated in 2007 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Decatur Orthopedic Center Llc, Kirby Medical Center and his current practice location is 104 Ashland, Mt Zion, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 864-2665.

Donald Nicholas Sullivan is licensed to practice in Illinois (license number 125-052745) 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 1154511517.

Contact Information

Donald Nicholas Sullivan, MD
104 Ashland,
Mt Zion, IL 62549
(217) 864-2665
(217) 864-8042

Map and Direction




Physician's Profile

Full NameDonald Nicholas Sullivan
GenderMale
SpecialityOrthopedic Surgery
Experience18 Years
Location104 Ashland, Mt Zion, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Donald Nicholas Sullivan attended and graduated from Southern College Of Medicine And Surgery in 2007
  NPI Data:
  • NPI Number: 1154511517
  • Provider Enumeration Date: 07/31/2007
  • Last Update Date: 07/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4486894508
  • Enrollment ID: I20130719000134

Medical Identifiers

Medical identifiers for Donald Nicholas Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154511517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 125-052745 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hshs Home Care Southern IllinoisEffingham, ILHome health agency
Memorial Home ServicesSpringfield, ILHome health agency
Encompass Health Home HealthSpringfield, ILHome health agency
Decatur Memorial HospitalDecatur, ILHospital
St Marys HospitalDecatur, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Kirby Medical CenterMonticello, ILHospital
Pana Community HospitalPana, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur Orthopedic Center Llc49818442899
Kirby Medical Center690179114460

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. Donald Nicholas Sullivan allows following entities to bill medicare on his behalf.
Entity NamePana Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942326970
PECOS PAC ID: 3274437348
Enrollment ID: O20031121000350
Entity NameKirby Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386635373
PECOS PAC ID: 6901791144
Enrollment ID: O20050801000320
Entity NameDecatur Orthopedic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336586114
PECOS PAC ID: 4981844289
Enrollment ID: O20130710000446

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. Donald Nicholas 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 AddressPractice Location Address
Donald Nicholas Sullivan, MD
104 Ashland,
Mt Zion, IL 62549

Ph: (217) 864-2665		Donald Nicholas Sullivan, MD
104 Ashland,
Mt Zion, IL 62549

Ph: (217) 864-2665

Reviews and Comments


Orthopaedic Surgery Doctors in Mt Zion, IL

Mrs. Holly Marie Chapman, APN
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 104 E Ashland Ave, Mt Zion, IL 62549
Phone: 217-864-2665    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.