Dr Jenna Lelsey Sullivan, OD - Medicare Optometrist in Kaukauna, WI

Dr Jenna Lelsey Sullivan, OD is a medicare enrolled "Optometrist" provider in Kaukauna, Wisconsin. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Magiera Eyecare Llc and her current practice location is 1 Bank Ave, Kaukauna, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 766-2481.

Dr Jenna Lelsey Sullivan is licensed to practice in Wisconsin (license number 3564-35) 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 1366936932.

Contact Information

Dr Jenna Lelsey Sullivan, OD
1 Bank Ave,
Kaukauna, WI 54130-2581
(920) 766-2481
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jenna Lelsey Sullivan
GenderFemale
SpecialityOptometry
Experience6 Years
Location1 Bank Ave, Kaukauna, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jenna Lelsey Sullivan graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1366936932
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 07/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8527393412
  • Enrollment ID: I20190715003001

Medical Identifiers

Medical identifiers for Dr Jenna Lelsey Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366936932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3564-35 (Wisconsin)Primary
152W00000XOptometrist OPC5544 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Magiera Eyecare Llc64069506902

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. Dr Jenna Lelsey Sullivan allows following entities to bill medicare on her behalf.
Provider NameMagiera Eyecare Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831636828
PECOS PAC ID: 6406950690
Enrollment ID: O20070329000532

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. Dr Jenna Lelsey 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
Dr Jenna Lelsey Sullivan, OD
2331 Willow Drop Way,
Oviedo, FL 32766-7083

Ph: (732) 684-2761
Dr Jenna Lelsey Sullivan, OD
1 Bank Ave,
Kaukauna, WI 54130-2581

Ph: (920) 766-2481

Reviews and Comments


Optometrist in Kaukauna, WI

Kaukauna Eye Care
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Bank Ave, Kaukauna, WI 54130
Phone: 920-766-2481    Fax: 920-766-3769
Dr. Mark Arthur Ebben, OD OPTOMETRIST
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1 Bank Ave, Kaukauna, WI 54130
Phone: 920-766-2481    Fax: 920-766-3769
Dr. Mary Kathryn Schroeder, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Bank Ave, Kaukauna, WI 54130
Phone: 920-766-2481    
Magiera Eyecare Llc.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1 Bank Ave, Kaukauna, WI 54130
Phone: 920-766-2481    
David G Vanderloop Ii, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130
Phone: 920-372-2555    Fax: 920-949-4025
Clear Approach Optometry Sc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130
Phone: 920-372-2555    Fax: 920-949-4025

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.