Bethany S Sullivan, APRN - Medicare Nurse Practitioner in Prestonsburg, KY

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Bethany S Sullivan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Prestonsburg, Kentucky. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice J And J Diagnostics and her current practice location is 4851 Ky Route 321, Prestonsburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 886-1173.

Bethany S Sullivan is licensed to practice in Kentucky (license number 3007834) 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 1962740969.

Contact Information

Bethany S Sullivan, APRN
4851 Ky Route 321,
Prestonsburg, KY 41653-9113
(606) 886-1173
(606) 886-2193

Map and Direction




Provider's Profile

Full NameBethany S Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location4851 Ky Route 321, Prestonsburg, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bethany S Sullivan graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1962740969
  • Provider Enumeration Date: 01/25/2013
  • Last Update Date: 08/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3476708363
  • Enrollment ID: I20130226000219

Medical Identifiers

Medical identifiers for Bethany S Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962740969NPI-NPPES
7100229990MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3007834 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
J And J Diagnostics86284787993

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. Bethany S Sullivan allows following entities to bill medicare on her behalf.
Entity NamePikeville Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528195864
PECOS PAC ID: 6709790157
Enrollment ID: O20040304001281
Entity NameHager & Associates Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629114707
PECOS PAC ID: 9931114766
Enrollment ID: O20060215000078
Entity NameCrossroads Addiction Recovery Effort Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942667456
PECOS PAC ID: 2567743164
Enrollment ID: O20161219001939
Entity NameFrontier Behavioral Health Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295287118
PECOS PAC ID: 7911284302
Enrollment ID: O20170512001552
Entity NameJ & J Diagnostics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417502733
PECOS PAC ID: 8628478799
Enrollment ID: O20210610001664

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. Bethany S 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
Bethany S Sullivan, APRN
Po Box 697,
Prestonsburg, KY 41653-0697

Ph: (606) 886-1173		Bethany S Sullivan, APRN
4851 Ky Route 321,
Prestonsburg, KY 41653-9113

Ph: (606) 886-1173

Reviews and Comments


Nurse Practitioner Nurses in Prestonsburg, KY

Zelda Mcintosh,
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Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433
Diana Lynn Herald, APRN
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Medicare: Medicare Enrolled
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
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Beverly Jane Daniel, PMHNP-BC
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Practice Location: 5230-ky-321#8, Prestonsburg, KY 41653
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Leah Nicole May, APRN
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Medicare: Medicare Enrolled
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433
Lindsay Michelle Burroughs, APRN
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Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433
Jayme Lynn Rice,
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Medicare: Medicare Enrolled
Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653
Phone: 606-886-8511    
Angela M Campbell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433

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.