Delena J Sullivan, CRC, LPC CANDIDATE in Wynnewood, OK

Delena J Sullivan, CRC, LPC CANDIDATE is a medicare enrolled "Counselor" provider in Wynnewood, Oklahoma. Her current practice location is 202 S Washita Ave, Wynnewood, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 665-4385.

Delena J Sullivan is licensed to practice in * (Not Available) (license number ) 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 1346831930.

Contact Information

	Delena J Sullivan, CRC, LPC CANDIDATE
	202 S Washita Ave, Wynnewood, OK 73098-7820
	(405) 665-4385
	(405) 665-6396

Map and Direction

Healthcare Provider's Profile

Full Name	Delena J Sullivan
Gender	Female
Speciality	Counselor
Location	202 S Washita Ave, Wynnewood, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346831930
Provider Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021

Medicare PECOS Information:

PECOS PAC ID: 1153770169
Enrollment ID: I20231214003579

Medical Identifiers

Medical identifiers for Delena J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346831930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Delena J Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Lighthouse Behavioral Wellness Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653

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. Delena J 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
Delena J Sullivan, CRC, LPC CANDIDATE 24136 N County Road 3247, Pauls Valley, OK 73075-9093 Ph: (405) 926-7057	Delena J Sullivan, CRC, LPC CANDIDATE 202 S Washita Ave, Wynnewood, OK 73098-7820 Ph: (405) 665-4385

Reviews and Comments

Counselor in Wynnewood, OK

Mr. Mike Don Dyson, M.S.P.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S. Washita, Wynnewood, OK 73098 Phone: 405-665-4385
Angela Campbell, M.ED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385
Amy Corrick, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385
Mrs. Tawanda Mae Northcutt, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385
Mrs. Llawelyn Jean Levy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385
Sharitta A. Grayson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385

Delena J Sullivan, CRC, LPC CANDIDATE - Medicare Counselor in Wynnewood, OK