Elizabeth Anne Sullivan, OT - Occupational Therapist in South Bend, IN

Elizabeth Anne Sullivan, OT is a Occupational Therapist based in South Bend, Indiana. Elizabeth Anne Sullivan is licensed to practice in Indiana (license number 31006976A) and her current practice location is 53880 Carmichael Dr, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 247-9441.

NPI number for Elizabeth Anne Sullivan is 1174171763 and her current mailing address is 53880 Carmichael Dr, South Bend, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174171763.

Contact Information

Elizabeth Anne Sullivan, OT
53880 Carmichael Dr,
South Bend, IN 46635-1567
(574) 247-9441
(574) 247-9442



Healthcare Provider's Profile

Full NameElizabeth Anne Sullivan
GenderFemale
SpecialityOccupational Therapist
Location53880 Carmichael Dr, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174171763
  • Provider Enumeration Date: 08/28/2019
  • Last Update Date: 08/28/2019

Medical Identifiers

Medical identifiers for Elizabeth Anne Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174171763NPI-NPPES
31006976AOtherININDIANA PROFESSIONAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 31006976A (Indiana)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. Elizabeth Anne Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Anne Sullivan, OT
53880 Carmichael Dr,
South Bend, IN 46635-1567

Ph: (574) 247-9441
Elizabeth Anne Sullivan, OT
53880 Carmichael Dr,
South Bend, IN 46635-1567

Ph: (574) 247-9441

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› Verified 9 days ago


Occupational Therapist in South Bend, IN

Ellen Jean Eaton, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615
Phone: 574-289-3945    
Gerald Oler,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1520 Enchanted Forest St, South Bend, IN 46637
Phone: 574-404-1524    
Kristin Shide, O.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615
Phone: 574-289-4831    Fax: 574-234-2075
Mrs. Penny R Fitzpatrick, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1950 Ridgedale Rd, South Bend, IN 46614
Phone: 574-291-6722    
Julie White, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2012 Ironwood Cir, Suite 230, South Bend, IN 46635
Phone: 574-387-4049    
Starr E Kelly, O.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615
Phone: 574-289-4831    Fax: 574-234-2075

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