Jeffrey Sullo, LPC in Bethany, CT - Medicare Counselor Provider

Jeffrey Sullo, LPC is a medicare enrolled "Counselor - Professional" provider in Bethany, Connecticut. His current practice location is 27 Green Hill Rd, Bethany, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 931-5621.

Jeffrey Sullo is licensed to practice in Connecticut (license number 3074) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508292475.

Contact Information

	Jeffrey Sullo, LPC
	27 Green Hill Rd, Bethany, CT 06524-3324
	(203) 931-5621
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Sullo
Gender	Male
Speciality	Counselor - Professional
Location	27 Green Hill Rd, Bethany, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508292475
Provider Enumeration Date: 09/23/2013
Last Update Date: 11/13/2020

Medicare PECOS Information:

PECOS PAC ID: 7012350341
Enrollment ID: I20240202003872

Medical Identifiers

Medical identifiers for Jeffrey Sullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508292475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3074 (Connecticut)	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. Jeffrey Sullo allows following entities to bill medicare on his behalf.

Entity Name	The Well Christian Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578151221 PECOS PAC ID: 6204279532 Enrollment ID: O20240202003837

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. Jeffrey Sullo 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
Jeffrey Sullo, LPC 27 Green Hill Rd, Bethany, CT 06524-3324 Ph: (203) 931-5621	Jeffrey Sullo, LPC 27 Green Hill Rd, Bethany, CT 06524-3324 Ph: (203) 931-5621

Reviews and Comments

Counselor in Bethany, CT

Concetta M Lafemina, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Mesa Dr, Bethany, CT 06524 Phone: 203-915-4521
Mrs. Tina A Mchugh, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Crestwood Rd, Bethany, CT 06524 Phone: 203-623-2926
Briana Rogers, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Emerald Ln, Bethany, CT 06524 Phone: 607-222-7021

Jeffrey Sullo, LPC - Medicare Counselor in Bethany, CT