Savannah Mae Sullivan, PA-C in Northbrook, IL - Medicare Physician Assistant

Savannah Mae Sullivan, PA-C is a medicare enrolled "Physician Assistant" in Northbrook, Illinois. Her current practice location is 333 Skokie Blvd Ste 108-109, Northbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 450-6393.

Savannah Mae Sullivan is licensed to practice in Illinois (license number 085.008952) 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 1124624671.

Contact Information

	Savannah Mae Sullivan, PA-C
	333 Skokie Blvd Ste 108-109, Northbrook, IL 60062-1613
	(847) 450-6393
	(847) 919-8375

Map and Direction

Provider's Profile

Full Name	Savannah Mae Sullivan
Gender	Female
Speciality	Physician Assistant
Location	333 Skokie Blvd Ste 108-109, Northbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124624671
Provider Enumeration Date: 12/09/2020
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3779951256
Enrollment ID: I20221115002526

Medical Identifiers

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

Identifier	Type	State	Issuer
1124624671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50.007504RX (Ohio)	Secondary
363A00000X	Physician Assistant	085.008952 (Illinois)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Savannah Mae 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
Savannah Mae Sullivan, PA-C 4247 S Valentina Bay, Salt Lake City, UT 84107-3394 Ph: (937) 360-7940	Savannah Mae Sullivan, PA-C 333 Skokie Blvd Ste 108-109, Northbrook, IL 60062-1613 Ph: (847) 450-6393

Reviews and Comments

Physician Assistant Nurses in Northbrook, IL

Elizabeth Cook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2064 Northbrook Ct, Northbrook, IL 60062 Phone: 847-970-0707
Caleb Isaac Stein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 Skokie Blvd, Northbrook, IL 60062 Phone: 847-504-3300
Diana Goldak, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062 Phone: 847-239-3654
Taylor Lintner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Skokie Blvd Ste 150, Northbrook, IL 60062 Phone: 847-497-2020
Miss Nicole Marie Bauknecht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 984 Willow Rd Ste H, Northbrook, IL 60062 Phone: 888-938-3838 Fax: 888-919-1083
Berin Simsek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 984 Willow Rd Ste H, Northbrook, IL 60062 Phone: 888-938-3838

Savannah Mae Sullivan, PA-C - Medicare Physician Assistant in Northbrook, IL