Ms Jacquelyn Ruth Sullivan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sidney, New York. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
76 Main Street, Suite B, Sidney, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 563-4080.
Ms Jacquelyn Ruth Sullivan is licensed to practice in New York (license number 071014) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952406282.
Healthcare Provider's Profile
| Full Name | Ms Jacquelyn Ruth Sullivan |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 23 Years |
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| Location | 76 Main Street, Sidney, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Jacquelyn Ruth Sullivan graduated from medical school in 2001
NPI Data:
- NPI Number: 1952406282
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 07/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 3375558919
- Enrollment ID: I20060217000371
Medical Identifiers
Medical identifiers for Ms Jacquelyn Ruth Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952406282 | NPI | - | NPPES |
| 713668 | Other | NY | MVP MOHAWK VALLEY PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 071014 (New York) | 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. Ms Jacquelyn Ruth 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 |
|---|
Ms Jacquelyn Ruth Sullivan, LCSW
Po Box 1046, Attn: Sally Follett-billing Services,
Norwich, NY 13815
Ph: (607) 334-5010 | Ms Jacquelyn Ruth Sullivan, LCSW
76 Main Street, Suite B,
Sidney, NY 13838
Ph: (607) 563-4080 |
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