Sabra Sullivan, MD, PHD in Madison, MS

Sabra Sullivan, MD, PHD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Madison, Mississippi. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 1988 and has 38 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Magnolia Dermatology, Pllc and her current practice location is 100 Mannsdale Park Dr Ste 1, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 910-3004.

Sabra Sullivan is licensed to practice in Mississippi (license number 14238) 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 1932176641.

Contact Information

	Sabra Sullivan, MD, PHD
	100 Mannsdale Park Dr Ste 1, Madison, MS 39110-6381
	(601) 910-3004
	(601) 910-3005

Map and Direction

Physician's Profile

Full Name	Sabra Sullivan
Gender	Female
Speciality	Dermatology
Experience	38 Years
Location	100 Mannsdale Park Dr Ste 1, Madison, Mississippi
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:

Sabra Sullivan attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1988

NPI Data:

NPI Number: 1932176641
Provider Enumeration Date: 03/01/2006
Last Update Date: 06/09/2026

Medicare PECOS Information:

PECOS PAC ID: 9032308044
Enrollment ID: I20110106000666

Medical Identifiers

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

Identifier	Type	State	Issuer
1932176641	NPI	-	NPPES
0114928	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	14238 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital

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. Sabra Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235318874 PECOS PAC ID: 8123217130 Enrollment ID: O20110106000505

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. Sabra 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
Sabra Sullivan, MD, PHD 815 Highway 80 E, Clinton, MS 39056-5252 Ph: (601) 910-3004	Sabra Sullivan, MD, PHD 100 Mannsdale Park Dr Ste 1, Madison, MS 39110-6381 Ph: (601) 910-3004

Sabra Sullivan, MD, PHD - Medicare Dermatology in Madison, MS