Mara O'sullivan, - Medicare Emergency Medicine in Wright Patterson Afb, OH

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Mara O'sullivan, is a medicare enrolled "Emergency Medicine" physician in Wright Patterson Afb, Ohio. Her current practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 257-8715.

Mara O'sullivan is licensed to practice in Ohio (license number 35.139175) 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 1740784396.

Contact Information

Mara O'sullivan,
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529
(937) 257-8715
Not Available

Map and Direction




Physician's Profile

Full NameMara O'sullivan
GenderFemale
SpecialityEmergency Medicine
Location4881 Sugar Maple Dr, Wright Patterson Afb, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740784396
  • Provider Enumeration Date: 03/20/2018
  • Last Update Date: 03/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739443789
  • Enrollment ID: I20211109001836

Medical Identifiers

Medical identifiers for Mara O'sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740784396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35.139175 (Ohio)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. Mara O'sullivan allows following entities to bill medicare on her behalf.
Entity NameMiami Valley Emergency Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821189085
PECOS PAC ID: 9537064183
Enrollment ID: O20031205000322
Entity NamePhs Emergency Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578387486
PECOS PAC ID: 7810426947
Enrollment ID: O20250117002759

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. Mara O'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
Mara O'sullivan,
1016 Oak Rdg,
Schertz, TX 78154-1820

Ph: (719) 362-7662		Mara O'sullivan,
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529

Ph: (937) 257-8715

Reviews and Comments


Emergency Medicine Doctors in Wright Patterson Afb, OH

Dr. Eric Michael Mozeleski, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0770    
Nora Gerson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-3203    
James Michael Manley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, 88 Mdg/sgoe, Wright Patterson Afb, OH 45433
Phone: 720-323-5725    
Jeffrey Nathan Harris, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-9612    
Dr. Roy Lee Johnson Iii, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0770    
Dr. Glenn David Burns, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 88 Mdg, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-8838    
Dr. Owen Scott, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0770    

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.