| Savannah Mae Sullivan, PA-C | |
|
333 Skokie Blvd Ste 108-109, Northbrook, IL 60062-1613 | |
| (847) 450-6393 | |
| (847) 919-8375 |
| Full Name | Savannah Mae Sullivan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 333 Skokie Blvd Ste 108-109, Northbrook, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124624671 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musec Medical Llc | 4385997931 | 4 |
| Entity Name | Clarity Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063803856 PECOS PAC ID: 7517284755 Enrollment ID: O20150326001469 |
| Entity Name | Musec Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841773074 PECOS PAC ID: 4385997931 Enrollment ID: O20181029000910 |
| 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 |
Elizabeth Cook, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2064 Northbrook Ct, Northbrook, IL 60062 Phone: 847-970-0707 |
Trisha Elizabeth Abu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3410 River Falls Dr, Northbrook, IL 60062 Phone: 734-658-3827 |
Caleb Isaac Stein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Skokie Blvd, Northbrook, IL 60062 Phone: 847-504-3300 |
Lauren Nesher, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1535 Lake Cook Rd, Northbrook, IL 60062 Phone: 847-480-1111 |
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 |