Alicia Kim Sullivan, NP - Medicare Nurse Practitioner in Edwardsville, IL

Alicia Kim Sullivan, NP is a medicare enrolled "Nurse Practitioner" in Edwardsville, Illinois. Her current practice location is 441 S State Route 157 Ste 102, Edwardsville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 254-2273.

Alicia Kim Sullivan is licensed to practice in Illinois (license number 2093022275) 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 1477158905.

Contact Information

Alicia Kim Sullivan, NP
441 S State Route 157 Ste 102,
Edwardsville, IL 62025-4017
(618) 254-2273
(618) 254-8476

Map and Direction




Provider's Profile

Full NameAlicia Kim Sullivan
GenderFemale
SpecialityNurse Practitioner
Location441 S State Route 157 Ste 102, Edwardsville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477158905
  • Provider Enumeration Date: 12/02/2020
  • Last Update Date: 12/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052723061
  • Enrollment ID: I20201216001576

Medical Identifiers

Medical identifiers for Alicia Kim Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477158905NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2093022275 (Illinois)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. Alicia Kim 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
Alicia Kim Sullivan, NP
441 S State Route 157 Ste 102,
Edwardsville, IL 62025-4017

Ph: (618) 254-2273
Alicia Kim Sullivan, NP
441 S State Route 157 Ste 102,
Edwardsville, IL 62025-4017

Ph: (618) 254-2273

Reviews and Comments


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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).

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