Elizabeth Marie Sullivan, DO in Avon, IN - Medicare Emergency Medicine

Elizabeth Marie Sullivan, DO is a medicare enrolled "Emergency Medicine" physician in Avon, Indiana. Her current practice location is 1111 Ronald Reagan Pkwy, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 217-3000.

Elizabeth Marie Sullivan is licensed to practice in Indiana (license number 02007075A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033747241.

Contact Information

	Elizabeth Marie Sullivan, DO
	1111 Ronald Reagan Pkwy, Avon, IN 46123-7085
	(317) 217-3000
	(317) 963-5492

Map and Direction

Physician's Profile

Full Name	Elizabeth Marie Sullivan
Gender	Female
Speciality	Emergency Medicine
Location	1111 Ronald Reagan Pkwy, Avon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033747241
Provider Enumeration Date: 04/01/2020
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 2860865599
Enrollment ID: I20230228002562

Medical Identifiers

Medical identifiers for Elizabeth Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033747241	NPI	-	NPPES
300074260	Medicaid	IN
264430H20	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	02007075A (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. Elizabeth Marie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Refugio County Memorial Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821178336 PECOS PAC ID: 1153216783 Enrollment ID: O20040220000853

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. Elizabeth 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
Elizabeth Marie Sullivan, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Elizabeth Marie Sullivan, DO 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: (317) 217-3000

Reviews and Comments

Emergency Medicine Doctors in Avon, IN

Dr. Keith T Huff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8244 E Us Highway 36 Ste 1100, Avon, IN 46123 Phone: 317-272-7500 Fax: 317-272-7515
Kelsey Kenji Ching, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-3500 Fax: 317-217-3115
Adrian Sauder, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-3500 Fax: 317-217-3115
Dr. Akhil Saraswat, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-3500 Fax: 317-217-3115
Habib M Bilfaqi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-3000
Dr. William B Solik, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8244 E Us Highway 36, Ste 1100, Avon, IN 46123 Phone: 317-272-7500 Fax: 317-272-7515

Elizabeth Marie Sullivan, DO - Medicare Emergency Medicine in Avon, IN