Jordan Michael Sullivan, is a
Case Manager/care Coordinator based in Sacramento, California. Jordan Michael Sullivan is licensed to practice in * (Not Available) (license number ) and his current practice location is
9343 Tech Center Dr Ste 100, Sacramento, California. He can be reached at his office (for appointments etc.) via phone at
(916) 379-5876.
NPI number for Jordan Michael Sullivan is 1083199434 and his current mailing address is 18225 Hale Ave Ste 200, Morgan Hill, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083199434.
Healthcare Provider's Profile
| Full Name | Jordan Michael Sullivan |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 9343 Tech Center Dr Ste 100, Sacramento, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083199434
- Provider Enumeration Date: 10/02/2018
- Last Update Date: 06/16/2023
Medical Identifiers
Medical identifiers for Jordan Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083199434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
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. Jordan Michael Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan Michael Sullivan,
18225 Hale Ave Ste 200,
Morgan Hill, CA 95037-3547
Ph: () - | Jordan Michael Sullivan,
9343 Tech Center Dr Ste 100,
Sacramento, CA 95826-2563
Ph: (916) 379-5876 |
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