Ms Jane Ann Sullivan, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Brownsville, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brownsville Medical Clinic, P.a. and her current practice location is
2565 N Washington Ave, Brownsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 772-4199.
Ms Jane Ann Sullivan is licensed to practice in Tennessee (license number APN5597) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538125711.
Physician's Profile
| Full Name | Ms Jane Ann Sullivan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 40 Years |
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| Location | 2565 N Washington Ave, Brownsville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Jane Ann Sullivan attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1984
NPI Data:
- NPI Number: 1538125711
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597749366
- Enrollment ID: I20191107002908
Medical Identifiers
Medical identifiers for Ms Jane Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538125711 | NPI | - | NPPES |
| Q007039 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 5597 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 5597 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 5597 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 5597 (Tennessee) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 5597 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 5597 (Tennessee) | Secondary |
| 208600000X | Surgery | 5597 (Tennessee) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 5597 (Tennessee) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 23279 (South Carolina) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5597 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23279 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN5597 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brownsville Medical Clinic, P.a. | 0547339772 | 4 |
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. Ms Jane Ann Sullivan allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Physician Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194277186
PECOS PAC ID: 7911287552
Enrollment ID: O20161216001613 |
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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. Ms Jane Ann 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 Jane Ann Sullivan, NP
2565 N Washington Ave,
Brownsville, TN 38012-1610
Ph: (731) 772-4199 | Ms Jane Ann Sullivan, NP
2565 N Washington Ave,
Brownsville, TN 38012-1610
Ph: (731) 772-4199 |
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