Michelle Sullivan, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Newton, North Carolina. Her current practice location is
221 W 26th St, Newton, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 464-2631.
Michelle Sullivan is licensed to practice in North Carolina (license number 1177) 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 1912120247.
Healthcare Provider's Profile
Full Name | Michelle Sullivan |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 221 W 26th St, Newton, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912120247
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 11/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416398912
- Enrollment ID: I20240515002035
Medical Identifiers
Medical identifiers for Michelle Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912120247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 1177 (North Carolina) | 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. Michelle Sullivan allows following entities to bill medicare on her behalf.
Entity Name | Gaston Family Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
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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. Michelle 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 |
Michelle Sullivan, LMFT 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: () - | Michelle Sullivan, LMFT 221 W 26th St, Newton, NC 28658-2821 Ph: (704) 464-2631 |
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