Michelle Dianne Sullivan, - Medicare Nurse Practitioner in W Burlington, IA

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Michelle Dianne Sullivan, is a medicare enrolled "Nurse Practitioner" physician in W Burlington, Iowa. Her current practice location is 1225 S Gear Ave Ste 153, W Burlington, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 754-4400.

Michelle Dianne Sullivan is licensed to practice in Illinois (license number 209.019108) 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 1629530399.

Contact Information

Michelle Dianne Sullivan,
1225 S Gear Ave Ste 153,
W Burlington, IA 52655-1686
(319) 754-4400
Not Available

Map and Direction




Physician's Profile

Full NameMichelle Dianne Sullivan
GenderFemale
SpecialityNurse Practitioner
Location1225 S Gear Ave Ste 153, W Burlington, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629530399
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 05/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264761048
  • Enrollment ID: I20191101001095

Medical Identifiers

Medical identifiers for Michelle Dianne Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629530399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 209.019108 (Illinois)Secondary
363L00000XNurse Practitioner 209.019108 (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. Michelle Dianne Sullivan allows following entities to bill medicare on her behalf.
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609180082
PECOS PAC ID: 0446140180
Enrollment ID: O20090407000082
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992041511
PECOS PAC ID: 0446140180
Enrollment ID: O20131115000755

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. Michelle Dianne 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
Michelle Dianne Sullivan,
1 University Cir,
Macomb, IL 61455-1367

Ph: () -		Michelle Dianne Sullivan,
1225 S Gear Ave Ste 153,
W Burlington, IA 52655-1686

Ph: (319) 754-4400

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.