Dr Sridevi Sullivan, MD - Medicare Obstetrics & Gynecology in Cambridge, MA

Dr Sridevi Sullivan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Cambridge, Massachusetts. Her current practice location is 1611 Cambridge St, Cambridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 661-5585.

Dr Sridevi Sullivan is licensed to practice in Illinois (license number 36099862) 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 1154397545.

Contact Information

Dr Sridevi Sullivan, MD
1611 Cambridge St,
Cambridge, MA 02138-4302
(617) 661-5585
(617) 661-5107



Physician's Profile

Full NameDr Sridevi Sullivan
GenderFemale
SpecialityObstetrics & Gynecology
Location1611 Cambridge St, Cambridge, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154397545
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 09/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0840197844
  • Enrollment ID: I20031217000841

Medical Identifiers

Medical identifiers for Dr Sridevi Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154397545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 36099862 (Illinois)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 Sridevi Sullivan allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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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 Sridevi 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 Sridevi Sullivan, MD
147 Milk St,
Boston, MA 02109-4806

Ph: () -
Dr Sridevi Sullivan, MD
1611 Cambridge St,
Cambridge, MA 02138-4302

Ph: (617) 661-5585

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Obstetrics & Gynecology Doctors in Cambridge, MA

Kathleen Forest Harney, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1493 Cambridge St, Cambridge, MA 02139
Phone: 617-665-1600    
Dr. Arielle Caplin, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1493 Cambridge St, Cambridge, MA 02139
Phone: 617-665-1000    
Latoya Shari Jackson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1493 Cambridge St, Cambridge, MA 02139
Phone: 617-498-1660    
Dr. Eman Elkadry, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 725 Concord Ave, Ste 3300, Cambridge, MA 02138
Phone: 617-354-5452    Fax: 617-497-7503
Alexander Bruscke, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 725 Concord Ave Ste 3500, Cambridge, MA 02138
Phone: 617-354-5452    
Arthur G Spector, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1493 Cambridge St, Cambridge, MA 02139
Phone: 617-665-2800    
Dr. Jessica Leigh Verosko, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1493 Cambridge St, Cha - Ob/gyn - Cambridge Campus, Cambridge, MA 02139
Phone: 617-498-1660    

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