Dr Jordan Sullivan, DPM in Milwaukee, WI - Medicare Podiatrist Provider

Dr Jordan Sullivan, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Milwaukee, Wisconsin. His current practice location is 2301 N Lake Dr, Podiatric Residency Office, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (402) 310-7374.

Dr Jordan Sullivan is licensed to practice in Wisconsin (license number 18096) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255877643.

Contact Information

	Dr Jordan Sullivan, DPM
	2301 N Lake Dr, Podiatric Residency Office, Milwaukee, WI 53211-4508
	(402) 310-7374
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan Sullivan
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	2301 N Lake Dr, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255877643
Provider Enumeration Date: 01/10/2017
Last Update Date: 01/10/2017

Medicare PECOS Information:

PECOS PAC ID: 7113381526
Enrollment ID: I20230918002310

Medical Identifiers

Medical identifiers for Dr Jordan Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255877643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	18096 (Wisconsin)	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. Dr Jordan Sullivan allows following entities to bill medicare on his behalf.

Provider Name	Nwsc Co Dr Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790346997 PECOS PAC ID: 6800250218 Enrollment ID: O20230918002154

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 Jordan 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
Dr Jordan Sullivan, DPM 2301 N Lake Dr, Podiatric Residency Office, Milwaukee, WI 53211-4508 Ph: () -	Dr Jordan Sullivan, DPM 2301 N Lake Dr, Podiatric Residency Office, Milwaukee, WI 53211-4508 Ph: (402) 310-7374

Reviews and Comments

Podiatrist in Milwaukee, WI

Dr. Laith Shaman, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1271 N 6th St, Milwaukee, WI 53212 Phone: 414-805-3666
Dr. Clifford D Greenbaum, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8003 N Port Washington Rd, Milwaukee, WI 53217 Phone: 414-228-6444 Fax: 414-228-7005
Dr. Isaac J Trejo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4100 S Howell Ave, Milwaukee, WI 53207 Phone: 414-483-5566 Fax: 866-263-5456
Ambulatory Surgery, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10150 W National Ave Ste 350, Milwaukee, WI 53227 Phone: 414-257-3322 Fax: 414-257-3364
Dr. Isaac Cyril York, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2301 N Lake Dr Rm 3664, Milwaukee, WI 53211 Phone: 414-585-1458
Dr. Patrick A Krzyzewski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4100 S Howell Ave, Milwaukee, WI 53207 Phone: 414-546-3100 Fax: 414-502-3398
Dr. Tahir A Khan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6001 W Center St Ste 108, Milwaukee, WI 53210 Phone: 414-808-2911

Dr Jordan Sullivan, DPM - Medicare Podiatrist in Milwaukee, WI