Dr Lisa Marie Sullivan, MD is a medicare enrolled "Allergy & Immunology" physician in Highland Park, Illinois. She went to University Of Florida College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Allergy/immunology. Her current practice location is
737 Saint Johns Ave, Highland Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 805-8088.
Dr Lisa Marie Sullivan is licensed to practice in Illinois (license number 36107599) 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 1386650273.
Physician's Profile
| Full Name | Dr Lisa Marie Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Allergy/immunology |
|---|
| Experience | 25 Years |
|---|
| Location | 737 Saint Johns Ave, Highland Park, Illinois |
|---|
| 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:
- Dr Lisa Marie Sullivan attended and graduated from University Of Florida College Of Medicine in 1999
NPI Data:
- NPI Number: 1386650273
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204903578
- Enrollment ID: I20080929000395
Medical Identifiers
Medical identifiers for Dr Lisa Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386650273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | 36107599 (Illinois) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | 36107599 (Illinois) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 36107599 (Illinois) | Secondary |
| 207K00000X | Allergy & Immunology | 36107599 (Illinois) | 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. Dr Lisa Marie Sullivan allows following entities to bill medicare on her behalf.
| Entity Name | Lisa Sullivan Md Sc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790949980
PECOS PAC ID: 9931276201
Enrollment ID: O20080929000400 |
|---|
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 Lisa Marie 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 |
|---|
Dr Lisa Marie Sullivan, MD
19818 Cypress Bridge Dr,
Odessa, FL 33556-4399
Ph: (847) 805-8088 | Dr Lisa Marie Sullivan, MD
737 Saint Johns Ave,
Highland Park, IL 60035-4650
Ph: (847) 805-8088 |
Reviews and Comments