Carol Sullivan, CASE MANAGER is a
Massage Therapist based in Las Cruces, New Mexico. Carol Sullivan is licensed to practice in New Mexico (license number MT8614) and her current practice location is
602 Weinrich Rd Trlr 6, Las Cruces, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 496-1162.
NPI number for Carol Sullivan is 1629324017 and her current mailing address is 602 Weinrich Rd Trlr 6, Las Cruces, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629324017.
Healthcare Provider's Profile
Full Name | Carol Sullivan |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 602 Weinrich Rd Trlr 6, Las Cruces, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629324017
- Provider Enumeration Date: 08/03/2012
- Last Update Date: 01/30/2019
Medical Identifiers
Medical identifiers for Carol Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629324017 | NPI | - | NPPES |
74481 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NR0400X | Chiropractor - Rehabilitation | MT8614 (New Mexico) | Secondary |
172M00000X | Mechanotherapist | MT8614 (New Mexico) | Secondary |
173C00000X | Reflexologist | MT8614 (New Mexico) | Secondary |
225700000X | Massage Therapist | MT8614 (New Mexico) | 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. Carol 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 Address | Practice Location Address |
Carol Sullivan, CASE MANAGER 602 Weinrich Rd Trlr 6, Las Cruces, NM 88007-4857 Ph: (575) 339-4567 | Carol Sullivan, CASE MANAGER 602 Weinrich Rd Trlr 6, Las Cruces, NM 88007-4857 Ph: (575) 496-1162 |
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