Shelby Lynn Sullivan, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Longview, Texas. Her current practice location is
707 E Marshall Ave, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 315-4880.
Shelby Lynn Sullivan is licensed to practice in Texas (license number 1018780) 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 1720680267.
Physician's Profile
Full Name | Shelby Lynn Sullivan |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 707 E Marshall Ave, Longview, Texas |
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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. |
Medical Education and Training:
- Shelby Lynn Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1720680267
- Provider Enumeration Date: 11/10/2020
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shelby Lynn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720680267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1018780 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 1018780 (Texas) | 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. Shelby Lynn 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 |
Shelby Lynn Sullivan, FNP-C Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400 | Shelby Lynn Sullivan, FNP-C 707 E Marshall Ave, Longview, TX 75601-5545 Ph: (903) 315-4880 |
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