Virginia Sullivan, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Medical Associates Inc, Community Medical Associates Inc and her current practice location is
600 S Preston St, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 639-3978.
Virginia Sullivan is licensed to practice in Kentucky (license number 253088) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417273269.
Healthcare Provider's Profile
| Full Name | Virginia Sullivan |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 600 S Preston St, Louisville, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Virginia Sullivan attended and graduated from University Of Louisville School Of Medicine in 2015
NPI Data:
- NPI Number: 1417273269
- Provider Enumeration Date: 04/19/2010
- Last Update Date: 10/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072873132
- Enrollment ID: I20180209000912
Medical Identifiers
Medical identifiers for Virginia Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417273269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 164999 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 253088 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Medical Associates Inc | 7012811284 | 1179 |
| Community Medical Associates Inc | 7012811284 | 1179 |
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. Virginia Sullivan allows following entities to bill medicare on her behalf.
| Entity Name | Seven Counties Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598793671
PECOS PAC ID: 1759294424
Enrollment ID: O20031110000034 |
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| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656 |
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| Entity Name | Astra Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922427517
PECOS PAC ID: 0749406577
Enrollment ID: O20140730002637 |
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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. Virginia 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 |
|---|
Virginia Sullivan, LCSW, LCADC
Po Box 776351,
Chicago, IL 60677-6351
Ph: (502) 588-9490 | Virginia Sullivan, LCSW, LCADC
600 S Preston St,
Louisville, KY 40202-1716
Ph: (502) 639-3978 |
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