Pamela Ann Sullivan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lake St. Louis, Missouri. She graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Heartland Women's Healthcare Mo Pc and her current practice location is
1000 Edgewater Pointe, Suite: 200, Lake St. Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 561-8088.
Pamela Ann Sullivan is licensed to practice in Missouri (license number 106412) 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 1033187828.
Physician's Profile
| Full Name | Pamela Ann Sullivan |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 32 Years |
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| Location | 1000 Edgewater Pointe, Lake St. Louis, Missouri |
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| 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:
- Pamela Ann Sullivan graduated from medical school in 1993
NPI Data:
- NPI Number: 1033187828
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 12/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204025364
- Enrollment ID: I20120307000351
Medical Identifiers
Medical identifiers for Pamela Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033187828 | NPI | - | NPPES |
| 208094821 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 106412 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Heartland Women's Healthcare Mo Pc | 7618236415 | 5 |
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. Pamela Ann Sullivan allows following entities to bill medicare on her behalf.
| Entity Name | Ssm Health Care St Louis |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
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| Entity Name | Heartland Women's Healthcare Mo Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588191431 PECOS PAC ID: 7618236415 Enrollment ID: O20180124003159 |
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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. Pamela Ann 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 |
Pamela Ann Sullivan, MD 1000 Edgewater Pointe, Suite - 200, Lake St. Louis, MO 63367 Ph: (636) 561-8088 | Pamela Ann Sullivan, MD 1000 Edgewater Pointe, Suite: 200, Lake St. Louis, MO 63367 Ph: (636) 561-8088 |
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