Madeline Klaire Sullivan, DPT in Magee, MS - Medicare Physical Therapist Provider

Madeline Klaire Sullivan, DPT is a medicare enrolled "Physical Therapist" provider in Magee, Mississippi. Her current practice location is 300 3rd Ave Se, Magee, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 849-5070.

Madeline Klaire Sullivan is licensed to practice in * (Not Available) (license number ) 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 1831882976.

Contact Information

	Madeline Klaire Sullivan, DPT
	300 3rd Ave Se, Magee, MS 39111-3665
	(601) 849-5070
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madeline Klaire Sullivan
Gender	Female
Speciality	Physical Therapist
Location	300 3rd Ave Se, Magee, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831882976
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0244751857
Enrollment ID: I20250311001864

Medical Identifiers

Medical identifiers for Madeline Klaire Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831882976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251P0200X	Physical Therapist - Pediatrics	(* (Not Available))	Secondary
2251S0007X	Physical Therapist - Sports	(* (Not Available))	Secondary
2251H1200X	Physical Therapist - Hand	(* (Not Available))	Secondary
2251H1300X	Physical Therapist - Human Factors	(* (Not Available))	Secondary
2251N0400X	Physical Therapist - Neurology	(* (Not Available))	Secondary
2251E1200X	Physical Therapist - Ergonomics	(* (Not Available))	Secondary
2251E1300X	Physical Therapist - Electrophysiology, Clinical	(* (Not Available))	Secondary
2251C2600X	Physical Therapist - Cardiopulmonary	(* (Not Available))	Secondary
2251G0304X	Physical Therapist - Geriatrics	PT7542 (Mississippi)	Secondary
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Secondary
225100000X	Physical Therapist	(* (Not Available))	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. Madeline Klaire Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Performance Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549

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. Madeline Klaire 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
Madeline Klaire Sullivan, DPT 1408 Victoria Ln, Brandon, MS 39042-6089 Ph: () -	Madeline Klaire Sullivan, DPT 300 3rd Ave Se, Magee, MS 39111-3665 Ph: (601) 849-5070

Reviews and Comments

Physical Therapist in Magee, MS

Allison Rutland, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 3rd St Sw, Magee, MS 39111 Phone: 601-439-7042
Jaime Craft, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Pioneer Way, Magee, MS 39111 Phone: 601-906-9392
Mrs. Donna Elizabeth Martin, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 2nd St Se, Magee, MS 39111 Phone: 601-849-9882 Fax: 601-849-9871
Dr. Joshua D Duckworth, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Pioneer Way, Magee, MS 39111 Phone: 601-849-1682 Fax: 601-849-1969
Teresa T Duckworth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 3rd St Sw, Magee, MS 39111 Phone: 601-849-2734 Fax: 601-849-2735
James David Holbrook, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 2nd St Se, Magee, MS 39111 Phone: 601-849-9882 Fax: 601-849-9871
Makayla B Eiland, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 720a 3rd Ave St Sw, Magee, MS 39111 Phone: 601-439-7042 Fax: 601-439-7058

Madeline Klaire Sullivan, DPT - Medicare Physical Therapist in Magee, MS