Ms Mary Sheila Sullivan, MED, RD, CSR, LDN in Wilbraham, MA - Medicare Dietitian, Registered Provider

Ms Mary Sheila Sullivan, MED, RD, CSR, LDN is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Wilbraham, Massachusetts. Her current practice location is 16 Raymond Dr, Wilbraham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 537-2426.

Ms Mary Sheila Sullivan is licensed to practice in Massachusetts (license number 121) 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 1508315961.

Contact Information

	Ms Mary Sheila Sullivan, MED, RD, CSR, LDN
	16 Raymond Dr, Wilbraham, MA 01095-2606
	(413) 537-2426
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mary Sheila Sullivan
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Renal
Location	16 Raymond Dr, Wilbraham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508315961
Provider Enumeration Date: 09/27/2016
Last Update Date: 09/27/2016

Medicare PECOS Information:

PECOS PAC ID: 5496790354
Enrollment ID: I20050622000493

Medical Identifiers

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

Identifier	Type	State	Issuer
1508315961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	121 (Massachusetts)	Secondary
133VN1005X	Dietitian, Registered - Nutrition, Renal	121 (Massachusetts)	Primary

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. Ms Mary Sheila 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
Ms Mary Sheila Sullivan, MED, RD, CSR, LDN 16 Raymond Dr, Wilbraham, MA 01095-2606 Ph: (413) 537-2426	Ms Mary Sheila Sullivan, MED, RD, CSR, LDN 16 Raymond Dr, Wilbraham, MA 01095-2606 Ph: (413) 537-2426

Reviews and Comments

Dietitian, Registered in Wilbraham, MA

Nicole A Chivas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 470 Main St, Wilbraham, MA 01095 Phone: 413-374-2555
Wellpoint Health Solutions, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 85 Post Office Park, Wilbraham, MA 01095 Phone: 413-374-2555
Jenna Kane, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Eastwood Dr, Wilbraham, MA 01095 Phone: 203-312-4463
Danielle Marie Bourque, RD, LDN, CD-N Dietitian Medicare: Accepting Medicare Assignments Practice Location: 470 Main St, Wilbraham, MA 01095 Phone: 413-258-0010
Ms. Paula Jeanne Serafino-cross, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2141 Boston Rd, Wilbraham, MA 01095 Phone: 413-241-6687

Ms Mary Sheila Sullivan, MED, RD, CSR, LDN - Medicare Dietitian in Wilbraham, MA