Tiffany Lynn Sullivan, LPC in Mcdonough, GA - Medicare Counselor Provider

Tiffany Lynn Sullivan, LPC is a medicare enrolled "Counselor - Professional" provider in Mcdonough, Georgia. Her current practice location is 901 Pavilion Ct, Mcdonough, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 814-4375.

Tiffany Lynn Sullivan is licensed to practice in Georgia (license number LPC007416) 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 1093061285.

Contact Information

	Tiffany Lynn Sullivan, LPC
	901 Pavilion Ct, Mcdonough, GA 30253-6665
	(678) 814-4375
	(678) 490-2361

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Lynn Sullivan
Gender	Female
Speciality	Counselor - Professional
Location	901 Pavilion Ct, Mcdonough, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093061285
Provider Enumeration Date: 07/25/2012
Last Update Date: 01/23/2019

Medicare PECOS Information:

PECOS PAC ID: 9133565179
Enrollment ID: I20240411002812

Medical Identifiers

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

Identifier	Type	State	Issuer
1093061285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC007416 (Georgia)	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. Tiffany Lynn Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Mindful Realizations Counseling & Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295164549 PECOS PAC ID: 6507202546 Enrollment ID: O20240312003363

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. Tiffany Lynn 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
Tiffany Lynn Sullivan, LPC 901 Pavilion Ct, Mcdonough, GA 30253-6665 Ph: (678) 814-4375	Tiffany Lynn Sullivan, LPC 901 Pavilion Ct, Mcdonough, GA 30253-6665 Ph: (678) 814-4375

Reviews and Comments

Counselor in Mcdonough, GA

Diamond S Hill, PP Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330
Kiarha Lamar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662
Dr. Joan Marie Hall, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3174 E Fairview Rd, Mcdonough, GA 30252 Phone: 707-679-0204
Marquita Latrice Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jonesboro St, Mcdonough, GA 30253 Phone: 678-809-7291
Tammy L. Amercani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662
Robert Sowell, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S. Zack Hinton Parkway, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662
Kenya Latrice Purcell, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1725 Pennsylvania Ave, Mcdonough, GA 30253 Phone: 678-789-3939

Tiffany Lynn Sullivan, LPC - Medicare Counselor in Mcdonough, GA