Mary Sullivan, MFT in Fort Collins, CO - Medicare Marriage & Family Therapist Provider

Mary Sullivan, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Fort Collins, Colorado. Her current practice location is 439 Stoney Brook Rd, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 310-3406.

Mary Sullivan is licensed to practice in Colorado (license number MFT.0001310) 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 1720410475.

Contact Information

	Mary Sullivan, MFT
	439 Stoney Brook Rd, Fort Collins, CO 80525-8705
	(970) 310-3406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Sullivan
Gender	Female
Speciality	Marriage & Family Therapist
Location	439 Stoney Brook Rd, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720410475
Provider Enumeration Date: 08/05/2013
Last Update Date: 01/22/2025

Medicare PECOS Information:

PECOS PAC ID: 3173068145
Enrollment ID: I20240715001240

Medical Identifiers

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

Identifier	Type	State	Issuer
1720410475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT-351 (Hawaii)	Secondary
106H00000X	Marriage & Family Therapist	MFT.0001310 (Colorado)	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. Mary Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Finding Peace In Empowerment, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184406456 PECOS PAC ID: 2264977230 Enrollment ID: O20240715001044

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. Mary 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
Mary Sullivan, MFT 4333 Corbett Dr # 1196, Fort Collins, CO 80525-6111 Ph: (970) 310-3406	Mary Sullivan, MFT 439 Stoney Brook Rd, Fort Collins, CO 80525-8705 Ph: (970) 310-3406

Reviews and Comments

Marriage & Family Therapist in Fort Collins, CO

Kelli Ellen Lackett, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1148 E Elizabeth St, Fort Collins, CO 80524 Phone: 970-472-4133 Fax: 970-493-6655
Mackenzie Howshar, MS, MFTC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3950 John F Kennedy Parkway, Building 8, Suite A, Fort Collins, CO 80525 Phone: 970-818-8832
Dr. Gary J Stricklin, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2038 Caribou Dr, Suite 201, Fort Collins, CO 80525 Phone: 970-484-5168 Fax: 970-225-3932
Erin Mclain Thomas, MA, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1200 S College Ave Unit 310, Fort Collins, CO 80524 Phone: 970-672-5535
Laura A Paluso, LMFT, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 700 Centre Ave, Fort Collins, CO 80526 Phone: 970-494-4200
Kathryn Price Foster, MDIV, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 503 Remington St, #105, Fort Collins, CO 80524 Phone: 970-556-9074
Brianna Mai, MA, MFT-C Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 700 Centre Ave, Fort Collins, CO 80526 Phone: 970-494-4200

Mary Sullivan, MFT - Medicare Couples Therapy in Fort Collins, CO