Jessica Lynn Sullivan, in Madisonville, KY - Medicare Social Worker Provider

Jessica Lynn Sullivan, is a medicare enrolled "Social Worker - Clinical" provider in Madisonville, Kentucky. Her current practice location is 200 Clinic Dr, Madisonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 821-8874.

Jessica Lynn Sullivan is licensed to practice in Kentucky (license number 254179) 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 1174024020.

Contact Information

	Jessica Lynn Sullivan,
	200 Clinic Dr, Madisonville, KY 42431-1661
	(270) 821-8874
	(270) 821-8883

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lynn Sullivan
Gender	Female
Speciality	Social Worker - Clinical
Location	200 Clinic Dr, Madisonville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174024020
Provider Enumeration Date: 02/26/2018
Last Update Date: 08/27/2019

Medicare PECOS Information:

PECOS PAC ID: 2769869692
Enrollment ID: I20230224001237

Medical Identifiers

Medical identifiers for Jessica Lynn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174024020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	254179 (Kentucky)	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. Jessica Lynn Sullivan allows following entities to bill medicare on her behalf.

Entity Name	360care Services Of Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669113023 PECOS PAC ID: 9931587888 Enrollment ID: O20220604000305

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. Jessica Lynn 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 Address	Practice Location Address
Jessica Lynn Sullivan, Po Box 614, Hopkinsville, KY 42241-0614 Ph: (270) 886-2205	Jessica Lynn Sullivan, 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 821-8874

Reviews and Comments

Social Worker in Madisonville, KY

Mrs. Caitlin Beth Crockett Tapp, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 Phone: 270-874-2560
Judy B. Blue, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-886-2205 Fax: 270-886-0392
Elizabeth Bourne Webb, LCSW, LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4915 Hanson Road, Madisonville, KY 42431 Phone: 270-825-8746 Fax: 270-825-8746
Jami Coyle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr Fl 1, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266
Stephanie Brinkerhoff, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 E Arch St, Madisonville, KY 42431 Phone: 513-834-7063
Melody Scott, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-821-8874 Fax: 270-821-8883

Jessica Lynn Sullivan, - Medicare Clinical Social Worker in Madisonville, KY