Ms Sherri L Sullivan, PCC-SUPV, LCDC III in Chardon, OH

Ms Sherri L Sullivan, PCC-SUPV, LCDC III is a medicare enrolled "Counselor - Professional" provider in Chardon, Ohio. Her current practice location is 100 Parker Ct, Chardon, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 286-1553.

Ms Sherri L Sullivan is licensed to practice in Ohio (license number E0003781) 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 1184928913.

Contact Information

	Ms Sherri L Sullivan, PCC-SUPV, LCDC III
	100 Parker Ct, Chardon, OH 44024-1141
	(440) 286-1553
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Sherri L Sullivan
Gender	Female
Speciality	Counselor - Professional
Location	100 Parker Ct, Chardon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184928913
Provider Enumeration Date: 01/09/2011
Last Update Date: 01/09/2011

Medicare PECOS Information:

PECOS PAC ID: 1456791110
Enrollment ID: I20240429000384

Medical Identifiers

Medical identifiers for Ms Sherri L Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184928913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E0003781 (Ohio)	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. Ms Sherri L Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Family Pride Of Northeast Ohio Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427013556 PECOS PAC ID: 9739458589 Enrollment ID: O20170710003089

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 Sherri L 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 Sherri L Sullivan, PCC-SUPV, LCDC III 100 Parker Ct, Chardon, OH 44024-1141 Ph: (440) 286-1553	Ms Sherri L Sullivan, PCC-SUPV, LCDC III 100 Parker Ct, Chardon, OH 44024-1141 Ph: (440) 286-1553

Reviews and Comments

Counselor in Chardon, OH

Wendy Merlene Francis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552
Cassandra Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553
Erin Pond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568
Elizabeth Breyley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 South St # 4a, Chardon, OH 44024 Phone: 440-285-2170
Jessica Brewster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 Fax: 440-286-1553
Mrs. Maria Goudas, MA LPCCS Counselor Medicare: Medicare Enrolled Practice Location: 12557 Ravenwood Dr, Ravenwood Mental Health Center, Chardon, OH 44024 Phone: 440-285-3568
Sandra E Bruss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Auburn Rd, Chardon, OH 44024 Phone: 440-226-9144

Ms Sherri L Sullivan, PCC-SUPV, LCDC III - Medicare Counselor in Chardon, OH