Ms Marilyn Sullivan, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Webster, New York. Her current practice location is
1527 Empire Blvd, Webster, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 670-0507.
Ms Marilyn Sullivan is licensed to practice in New York (license number F400291) 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 1003929373.
Healthcare Provider's Profile
Full Name | Ms Marilyn Sullivan |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 1527 Empire Blvd, Webster, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003929373
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365503315
- Enrollment ID: I20081209000331
Medical Identifiers
Medical identifiers for Ms Marilyn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003929373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | F400291 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F400291 (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 Marilyn 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 Marilyn Sullivan, NP 1527 Empire Blvd, Webster, NY 14580-2103 Ph: (585) 670-0507 | Ms Marilyn Sullivan, NP 1527 Empire Blvd, Webster, NY 14580-2103 Ph: (585) 670-0507 |
Reviews and Comments