Mrs Caroline Sullivan, RD in Fort Worth, TX - Medicare Dietitian, Registered Provider

Mrs Caroline Sullivan, RD is a medicare enrolled "Dietitian, Registered" provider in Fort Worth, Texas. Her current practice location is 2624 Willing Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 513-1602.

Mrs Caroline Sullivan is licensed to practice in Texas (license number DT80593) 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 1235446998.

Contact Information

	Mrs Caroline Sullivan, RD
	2624 Willing Ave, Fort Worth, TX 76110-3032
	(281) 513-1602
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Caroline Sullivan
Gender	Female
Speciality	Dietitian, Registered
Location	2624 Willing Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235446998
Provider Enumeration Date: 09/01/2010
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5991156853
Enrollment ID: I20240105000112

Medical Identifiers

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

Identifier	Type	State	Issuer
1235446998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT80593 (Texas)	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. Mrs Caroline Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Mrs Caroline 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
Mrs Caroline Sullivan, RD 2624 Willing Ave, Fort Worth, TX 76110-3032 Ph: (281) 513-1602	Mrs Caroline Sullivan, RD 2624 Willing Ave, Fort Worth, TX 76110-3032 Ph: (281) 513-1602

Reviews and Comments

Dietitian, Registered in Fort Worth, TX

Allison Conklin, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-569-4300
Janet Gaytan, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 E Berry St, Fort Worth, TX 76105 Phone: 817-347-4600 Fax: 817-347-4639
Rachel Hill, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-4007 Fax: 682-885-4004
Miss Marley Grams, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 940-300-7012
Lisa Lloyd, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 Mercantile Plaza Dr Ste 108, Fort Worth, TX 76137 Phone: 469-294-9075
Robin Caroline Dagg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6824 Brants Ln, Fort Worth, TX 76116 Phone: 501-650-4282
Stephanie Ann Gay, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1810 Turner Ridge Dr Apt 9208, Fort Worth, TX 76110 Phone: 847-502-9429

Mrs Caroline Sullivan, RD - Medicare Dietitian in Fort Worth, TX