Mrs Elizabeth Gral Sullivan, MS/CCC-SLP - Medicare Speech-Language Pathologist in Mequon, WI

Mrs Elizabeth Gral Sullivan, MS/CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mequon, Wisconsin. Her current practice location is 13111 North Port Washington Road, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 243-7444.

Mrs Elizabeth Gral Sullivan is licensed to practice in Wisconsin (license number 878-154) 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 1538103643.

Contact Information

Mrs Elizabeth Gral Sullivan, MS/CCC-SLP
13111 North Port Washington Road,
Mequon, WI 53097
(262) 243-7444
Not Available



Healthcare Provider's Profile

Full NameMrs Elizabeth Gral Sullivan
GenderFemale
SpecialitySpeech-language Pathologist
Location13111 North Port Washington Road, Mequon, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538103643
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 10/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5799136552
  • Enrollment ID: I20240105003681

Medical Identifiers

Medical identifiers for Mrs Elizabeth Gral Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538103643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 878-154 (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. Mrs Elizabeth Gral Sullivan allows following entities to bill medicare on her behalf.
Provider NameGreat Lakes Healthcare Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1184282618
PECOS PAC ID: 5395079719
Enrollment ID: O20190730000104

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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. Mrs Elizabeth Gral 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
Mrs Elizabeth Gral Sullivan, MS/CCC-SLP
816 E Hyde Way,
Fox Point, WI 53217-3221

Ph: (414) 352-6817
Mrs Elizabeth Gral Sullivan, MS/CCC-SLP
13111 North Port Washington Road,
Mequon, WI 53097

Ph: (262) 243-7444

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Speech-Language Pathologist in Mequon, WI

Mrs. Kim Ann Glaser, MS CCC-SLP
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097
Phone: 262-243-5757    
Michelle Rivera,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 403 W Mequon Rd, Mequon, WI 53092
Phone: 262-643-4771    
Bloom Speech Therapy Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1017 W Glen Oaks Ln Ste 140, Mequon, WI 53092
Phone: 414-533-8050    
Mrs. Cindy Schultz Katzoff, M.A. SLP/CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 10995 N Market St, Mequon, WI 53092
Phone: 262-478-1581    
Milagros Caceres,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 12600 Pt. Washington Rd, Newcastle Place, Mequon, WI 53092
Phone: 262-387-8800    
Emily Smith, M.S., CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1486 W Mequon Rd, Mequon, WI 53092
Phone: 262-241-8030    
Ms. Gabriella C. Buchnik, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 10303 N Port Washington Rd, Suite 203, Mequon, WI 53092
Phone: 262-241-5955    Fax: 262-241-5926

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