Ms Lisa Renee Sullivan, PA-C - Medicare Physician Assistant in Belleville, MI

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Ms Lisa Renee Sullivan, PA-C is a medicare enrolled "Physician Assistant - Medical" in Belleville, Michigan. Her current practice location is 44305 Harmony Ln, Belleville, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 716-5588.

Ms Lisa Renee Sullivan is licensed to practice in Michigan (license number 5601005958) 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 1811205750.

Contact Information

Ms Lisa Renee Sullivan, PA-C
44305 Harmony Ln,
Belleville, MI 48111-2449
(734) 716-5588
Not Available

Map and Direction




Provider's Profile

Full NameMs Lisa Renee Sullivan
GenderFemale
SpecialityPhysician Assistant - Medical
Location44305 Harmony Ln, Belleville, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811205750
  • Provider Enumeration Date: 09/14/2010
  • Last Update Date: 01/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0446431506
  • Enrollment ID: I20110920000493

Medical Identifiers

Medical identifiers for Ms Lisa Renee Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811205750NPI-NPPES
5601005958OtherMISTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601005958 (Michigan)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. Ms Lisa Renee Sullivan allows following entities to bill medicare on her behalf.
Entity NameSaint Joseph Mercy Livingston Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285753236
PECOS PAC ID: 8628964525
Enrollment ID: O20040226000828
Entity NameSt Joseph Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659499705
PECOS PAC ID: 3779489281
Enrollment ID: O20040226001002
Entity NameSaint Joseph Mercy Livingston Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285753236
PECOS PAC ID: 8628964525
Enrollment ID: O20040301000934
Entity NameAccess Behavioral Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174861959
PECOS PAC ID: 2668611740
Enrollment ID: O20130621000015
Entity NameBehavioral Care Solutions for Adults and Seniors Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154727147
PECOS PAC ID: 4880918051
Enrollment ID: O20150116000266
Entity NameMain Street Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952866808
PECOS PAC ID: 6709125693
Enrollment ID: O20190312001434

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. Ms Lisa Renee 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
Ms Lisa Renee Sullivan, PA-C
44305 Harmony Ln,
Belleville, MI 48111-2449

Ph: (734) 716-5588		Ms Lisa Renee Sullivan, PA-C
44305 Harmony Ln,
Belleville, MI 48111-2449

Ph: (734) 716-5588

Reviews and Comments


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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.