Michael J Sullivan, PA-C - Medicare Physician Assistant in Belleville, IL

  1. Home
  2. Physician Assistant
  3. IL
  4. Belleville
Michael J Sullivan, PA-C is a medicare enrolled "Physician Assistant" in Belleville, Illinois. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Fairview Heights Medical Group Sc and his current practice location is 4700 Memorial Dr Ste 340, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 234-9884.

Michael J Sullivan is licensed to practice in * (Not Available) (license number ) 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 1881097236.

Contact Information

Michael J Sullivan, PA-C
4700 Memorial Dr Ste 340,
Belleville, IL 62226-5373
(618) 234-9884
Not Available

Map and Direction




Provider's Profile

Full NameMichael J Sullivan
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location4700 Memorial Dr Ste 340, Belleville, Illinois
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:
  • Michael J Sullivan graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1881097236
  • Provider Enumeration Date: 09/30/2014
  • Last Update Date: 02/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335361930
  • Enrollment ID: I20141115000347

Medical Identifiers

Medical identifiers for Michael J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881097236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalBelleville, ILHospital
Ssm Health Rehabilitation HospitalRichmond heights, MOInpatient rehabilitation facility

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083448

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. Michael J Sullivan allows following entities to bill medicare on his behalf.
Entity NameFairview Heights Medical Group SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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. Michael J 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
Michael J Sullivan, PA-C
4500 Memorial Drive, Memorial Hospital Medical Affairs,
Belleville, IL 62226

Ph: (618) 257-4644		Michael J Sullivan, PA-C
4700 Memorial Dr Ste 340,
Belleville, IL 62226-5373

Ph: (618) 234-9884

Reviews and Comments


Physician Assistant Nurses in Belleville, IL

Mattison N Perez, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226
Phone: 618-767-7700    
Kim C Wrigley, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    
Lance L Lane, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226
Phone: 618-767-7700    
Miss Kristina Klaverkamp, MSPA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223
Phone: 618-355-0880    
Bessy Sarahi Villafranca-escobar, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4600 Memorial Dr Ste W1, Belleville, IL 62226
Phone: 618-233-3066    Fax: 618-233-3180
Kevin Wilson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221
Phone: 618-257-2029    Fax: 618-235-5371
Molly Claire Wade, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226
Phone: 618-222-1020    

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.