Tina Marie Sullivan, in Council Bluffs, IA - Medicare Counselor Provider

Tina Marie Sullivan, is a medicare enrolled "Counselor - Mental Health" provider in Council Bluffs, Iowa. Her current practice location is 500 Willow Ave Ste 305, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 256-4420.

Tina Marie Sullivan is licensed to practice in Iowa (license number 101697) 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 1447850342.

Contact Information

	Tina Marie Sullivan,
	500 Willow Ave Ste 305, Council Bluffs, IA 51503-0807
	(712) 256-4420
	(712) 256-4423

Map and Direction

Healthcare Provider's Profile

Full Name	Tina Marie Sullivan
Gender	Female
Speciality	Counselor - Mental Health
Location	500 Willow Ave Ste 305, Council Bluffs, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447850342
Provider Enumeration Date: 10/29/2020
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 5395196943
Enrollment ID: I20240108004171

Medical Identifiers

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

Identifier	Type	State	Issuer
1447850342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	101697 (Iowa)	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. Tina Marie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Family Connections Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740357300 PECOS PAC ID: 9234550419 Enrollment ID: O20200526000183

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. Tina Marie 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
Tina Marie Sullivan, 1720 N 16th St Ste K, Council Bluffs, IA 51501-0109 Ph: (712) 256-4420	Tina Marie Sullivan, 500 Willow Ave Ste 305, Council Bluffs, IA 51503-0807 Ph: (712) 256-4420

Reviews and Comments

Counselor in Council Bluffs, IA

Monica S Meier, PMHP, PMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E. Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833
Ashley Peregrine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2912 9th Ave, Council Bluffs, IA 51501 Phone: 402-553-3000
Jennifer Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833
Mrs. Rachelle A Bartlett, MS, PLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave, Council Bluffs, IA 51501 Phone: 712-352-0917
Thomas Edward Koch, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave # Ia51501, Council Bluffs, IA 51501 Phone: 712-352-0917 Fax: 712-352-0837
Robert Scott Andrews, MS LMHC NCC Counselor Medicare: Medicare Enrolled Practice Location: 300 W Broadway Ste 107, Council Bluffs, IA 51503 Phone: 712-328-3700
Mrs. Carolyn Ann Andersen Burgher, MS LMHC LMHP LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Main Place, Suite 100 Omni Center Business Park, Council Bluffs, IA 51503 Phone: 712-320-9205

Tina Marie Sullivan, - Medicare Counselor in Council Bluffs, IA