Jennifer Sullivan, in Bloomington, MN - Medicare Counselor Provider

Jennifer Sullivan, is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Minnesota. Her current practice location is 1801 American Blvd E Ste 1, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 331-9413.

Jennifer 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 1568987378.

Contact Information

	Jennifer Sullivan,
	1801 American Blvd E Ste 1, Bloomington, MN 55425-1230
	(612) 331-9413
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Sullivan
Gender	Female
Speciality	Counselor - Mental Health
Location	1801 American Blvd E Ste 1, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568987378
Provider Enumeration Date: 08/14/2017
Last Update Date: 08/14/2017

Medicare PECOS Information:

PECOS PAC ID: 5597116780
Enrollment ID: I20240112000152

Medical Identifiers

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

Identifier	Type	State	Issuer
1568987378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Jennifer Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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. Jennifer 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
Jennifer Sullivan, 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 Ph: () -	Jennifer Sullivan, 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 Ph: (612) 331-9413

Reviews and Comments

Counselor in Bloomington, MN

Abdulhakim D Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Humboldt Ave S, Bloomington, MN 55431 Phone: 952-454-0421 Fax: 952-426-4935
Ashley Ripley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 952-767-2267
Zaynab Abdirahman Abdullahi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9340 James Ave S, Bloomington, MN 55431 Phone: 612-226-0907
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Faith Gakii Rwitoh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9340 James Ave S, Bloomington, MN 55431 Phone: 952-332-7736
Amar Deeq Yussuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 American Blvd E Ste 19, Bloomington, MN 55425 Phone: 952-212-0358

Jennifer Sullivan, - Medicare Counselor in Bloomington, MN