Crystal Sullivan, DO in Jefferson City, MO

Crystal Sullivan, DO is a medicare enrolled "Family Medicine" physician in Jefferson City, Missouri. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Community Health Ctr Of Central Missouri and her current practice location is 1511 Christy Dr, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 632-2777.

Crystal Sullivan is licensed to practice in Missouri (license number 2010014089) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1477864502.

Contact Information

	Crystal Sullivan, DO
	1511 Christy Dr, Jefferson City, MO 65101-2854
	(573) 632-2777
	(573) 632-2769

Map and Direction

Physician's Profile

Full Name	Crystal Sullivan
Gender	Female
Speciality	Family Practice
Experience	17 Years
Location	1511 Christy Dr, Jefferson City, Missouri
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Sullivan attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2007

NPI Data:

NPI Number: 1477864502
Provider Enumeration Date: 06/23/2010
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8921123639
Enrollment ID: I20100918000172

Medical Identifiers

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

Identifier	Type	State	Issuer
1477864502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2010014089 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Missouri Health Care	Columbia, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Ctr Of Central Missouri	2062456015	19

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. Crystal Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Community Health Ctr Of Central Missouri
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538213244 PECOS PAC ID: 2062456015 Enrollment ID: O20050610000717

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. Crystal 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
Crystal Sullivan, DO 3349 American Ave Ste C, Jefferson City, MO 65109-1079 Ph: (573) 632-0243	Crystal Sullivan, DO 1511 Christy Dr, Jefferson City, MO 65101-2854 Ph: (573) 632-2777

Reviews and Comments

Family Medicine Doctors in Jefferson City, MO

Todd D Mccluskey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3308 W Edgewood Dr, Suite B, Jefferson City, MO 65109 Phone: 573-893-7848 Fax: 573-893-1984
Craig Alan Luetkemeyer, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880
Dr. Michael G. Steenbergen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423
Dr. James J. Weiss, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423
Lorrie L Campbell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880
Dr. Douglas N. Smith, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3308 W Edgewood Dr, Suite B, Jefferson City, MO 65109 Phone: 573-893-7848 Fax: 573-893-1984
Michael Peter Dudenhoeffer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 E High St, Jefferson City, MO 65101 Phone: 573-635-2211 Fax: 573-636-9350

Crystal Sullivan, DO - Medicare Family Practice in Jefferson City, MO