Joseph R Sullivan, DO - Medicare General Surgery in St Francis, WI

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Joseph R Sullivan, DO is a medicare enrolled "Surgery" physician in St Francis, Wisconsin. He went to Lincoln Mem Univ, Debusk Col Of Osteopathic Med and graduated in 2011 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Watertown Physician Practices Llc, Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc., Deaconess Memorial Medical Center Inc, Deaconess Specialty Physicians, Inc and his current practice location is 2000 E Layton Ave, St Francis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 744-6589.

Joseph R Sullivan is licensed to practice in Wisconsin (license number 65368-21) 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 1295022903.

Contact Information

Joseph R Sullivan, DO
2000 E Layton Ave,
St Francis, WI 53235-6053
(414) 744-6589
Not Available

Map and Direction




Physician's Profile

Full NameJoseph R Sullivan
GenderMale
SpecialityGeneral Surgery
Experience15 Years
Location2000 E Layton Ave, St Francis, Wisconsin
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:
  • Joseph R Sullivan attended and graduated from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2011
  NPI Data:
  • NPI Number: 1295022903
  • Provider Enumeration Date: 07/01/2011
  • Last Update Date: 02/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284923327
  • Enrollment ID: I20160720002703

Medical Identifiers

Medical identifiers for Joseph R Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295022903NPI-NPPES
100058377MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 65368-21 (Wisconsin)Primary
208600000XSurgery 5101019532 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Deaconess Memorial Medical Center, IncJasper, INHospital
Deaconess Hospital IncEvansville, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Watertown Physician Practices Llc802232940864
Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.9335059856566
Deaconess Memorial Medical Center Inc4587578042140
Deaconess Specialty Physicians, Inc0244595205228

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. Joseph R Sullivan allows following entities to bill medicare on his behalf.
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameAspirus Riverview Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295754844
PECOS PAC ID: 4587658182
Enrollment ID: O20040414000945
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1619079597
PECOS PAC ID: 5799688602
Enrollment ID: O20071211000401
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1639187412
PECOS PAC ID: 1557271202
Enrollment ID: O20110126000993
Entity NameWatertown Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770964363
PECOS PAC ID: 8022329408
Enrollment ID: O20150626000114

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. Joseph R 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
Joseph R Sullivan, DO
2000 E Layton Ave,
St Francis, WI 53235-6053

Ph: (414) 744-6589		Joseph R Sullivan, DO
2000 E Layton Ave,
St Francis, WI 53235-6053

Ph: (414) 744-6589

Reviews and Comments



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.