Dr Stephanie Theresa Sullivan, OD is a medicare enrolled "Optometrist" provider in Spencer, Massachusetts. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Family Eye Care Inc and her current practice location is
177 Main St, Spencer, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 885-2219.
Dr Stephanie Theresa Sullivan is licensed to practice in Massachusetts (license number 5686) 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 1942720826.
Healthcare Provider's Profile
| Full Name | Dr Stephanie Theresa Sullivan |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 9 Years |
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| Location | 177 Main St, Spencer, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Stephanie Theresa Sullivan graduated from medical school in 2016
NPI Data:
- NPI Number: 1942720826
- Provider Enumeration Date: 06/22/2017
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456615434
- Enrollment ID: I20250421000128
Medical Identifiers
Medical identifiers for Dr Stephanie Theresa Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942720826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3022 (Connecticut) | Secondary |
| 152W00000X | Optometrist | 5686 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Eye Care Inc | 3779654876 | 6 |
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 Stephanie Theresa Sullivan allows following entities to bill medicare on her behalf.
| Provider Name | Family Eye Care Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073674446
PECOS PAC ID: 3779654876
Enrollment ID: O20080617000732 |
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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 Stephanie Theresa 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 |
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Dr Stephanie Theresa Sullivan, OD
4 Joanna Dr,
Rutland, MA 01543-1245
Ph: () - | Dr Stephanie Theresa Sullivan, OD
177 Main St,
Spencer, MA 01562-1711
Ph: (508) 885-2219 |
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