Jennifer Diane Sullivan, MD - Medicare Emergency Medicine in Charlotte, NC

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Jennifer Diane Sullivan, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. Her current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-2171.

Jennifer Diane Sullivan is licensed to practice in North Carolina (license number 2021-03325) 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 1992748982.

Contact Information

Jennifer Diane Sullivan, MD
1000 Blythe Blvd,
Charlotte, NC 28203-5812
(704) 355-2171
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Diane Sullivan
GenderFemale
SpecialityEmergency Medicine
Location1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992748982
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638101405
  • Enrollment ID: I20050901000576

Medical Identifiers

Medical identifiers for Jennifer Diane Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992748982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2021-03325 (North Carolina)Secondary
207P00000XEmergency Medicine 2021-03325 (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. Jennifer Diane Sullivan allows following entities to bill medicare on her behalf.
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955

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. Jennifer Diane 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 AddressPractice Location Address
Jennifer Diane Sullivan, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Jennifer Diane Sullivan, MD
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 355-2171

Reviews and Comments


Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
Jacob Leedekerken,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    
Neha Ray, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047
John B Clark Jr., M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207
Phone: 704-377-2424    Fax: 704-377-2687
Nilesh K. Patel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2171    
Michael Stephen Merrill, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211
Phone: 704-377-2424    Fax: 704-377-2687
Brian Zachary Hedges, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.