Alex Brennan Sullivan, - Medicare Certified Registered Nurse Anesthetist (crna) in Harrisburg, PA

Alex Brennan Sullivan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Harrisburg, Pennsylvania. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Penn State Health Community Medical Group Llc and his current practice location is 111 S Front St, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 782-3282.

Alex Brennan Sullivan is licensed to practice in Pennsylvania (license number RN682784) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275113334.

Contact Information

Alex Brennan Sullivan,
111 S Front St,
Harrisburg, PA 17101-2010
(717) 782-3282
Not Available

Map and Direction




Provider's Profile

Full NameAlex Brennan Sullivan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location111 S Front St, Harrisburg, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alex Brennan Sullivan graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1275113334
  • Provider Enumeration Date: 04/13/2021
  • Last Update Date: 07/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335542851
  • Enrollment ID: I20210721003113

Medical Identifiers

Medical identifiers for Alex Brennan Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275113334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN682784 (Pennsylvania)Secondary
367500000XNurse Anesthetist, Certified Registered RN682784 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Spirit HospitalCamp hill, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Penn State Health Community Medical Group Llc8729351077657

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. Alex Brennan Sullivan allows following entities to bill medicare on his behalf.
Entity NameSpirit Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093013328
PECOS PAC ID: 8022922202
Enrollment ID: O20040402000053
Entity NameCapital Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447210737
PECOS PAC ID: 9032188610
Enrollment ID: O20040930000090
Entity NamePenn State Health Community Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279
Entity NameUpmc Pinnacle Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730693979
PECOS PAC ID: 1951662980
Enrollment ID: O20180307001977

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. Alex Brennan 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
Alex Brennan Sullivan,
111 S Front St,
Harrisburg, PA 17101-2010

Ph: (717) 782-3282
Alex Brennan Sullivan,
111 S Front St,
Harrisburg, PA 17101-2010

Ph: (717) 782-3282

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Harrisburg, PA

Mrs. Holly Ann Maley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-782-5118    Fax: 717-782-5854
Ms. Alicia K Stidfole, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-782-5118    Fax: 717-782-5854
Patrick Dougherty, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-782-5118    Fax: 717-782-5854
Diane E Geise, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-782-5470    Fax: 717-782-5820
Jessica E Rybinski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-231-8919    
Slim Ben M Aouadhi, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Londonderry Rd, Harrisburg, PA 17109
Phone: 717-782-5118    Fax: 717-782-5854
Maria R Symonies, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-782-5470    Fax: 717-782-5820

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.