Moira Sullivan, MD - Medicare Obstetrics & Gynecology in Maywood, IL

Moira Sullivan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Maywood, Illinois. Her current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 216-9000.

Moira Sullivan is licensed to practice in Illinois (license number 125.082220) 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 1639871619.

Contact Information

Moira Sullivan, MD
2160 S 1st Ave,
Maywood, IL 60153-3328
(708) 216-9000
Not Available



Physician's Profile

Full NameMoira Sullivan
GenderFemale
SpecialityObstetrics & Gynecology
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639871619
  • Provider Enumeration Date: 03/21/2023
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012378516
  • Enrollment ID: I20230801000081

Medical Identifiers

Medical identifiers for Moira Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639871619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 125.082220 (Illinois)Primary

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. Moira 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
Moira Sullivan, MD
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-9000
Moira Sullivan, MD
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-9000

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Obstetrics & Gynecology Doctors in Maywood, IL

Linda Brubaker, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, (russo Ent., Rm. 1016), Maywood, IL 60153
Phone: 708-216-8563    Fax: 708-216-2275
Lena Rose Wiley, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-3380    
Fabiola Fernandez, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153
Phone: 708-216-9000    Fax: 708-216-9033
Leslie Marie Waddell, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-2460    
Jasmin Alisa Nwachokor, M.D
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-2170    
Jordan Leigh Sheran, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2160 S 1st Ave, 103-1011, Maywood, IL 60153
Phone: 708-216-5459    
Ann Kellogg Lal, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Loyola Outpatient Center, Maywood, IL 60153
Phone: 708-216-9000    

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