Colby Keith Sullivan, ACNP in Pensacola, FL - Medicare Nurse Practitioner

Colby Keith Sullivan, ACNP is a medicare enrolled "Nurse Practitioner" in Pensacola, Florida. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Intensive Care Consortium Inc and his current practice location is 5149 N 9th Ave, Pensacola, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 479-7200.

Colby Keith Sullivan is licensed to practice in Florida (license number APRN11002698) 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 1528613734.

Contact Information

	Colby Keith Sullivan, ACNP
	5149 N 9th Ave, Pensacola, FL 32504-8756
	(850) 479-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Colby Keith Sullivan
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	5149 N 9th Ave, Pensacola, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colby Keith Sullivan graduated from nursing school in 2019

NPI Data:

NPI Number: 1528613734
Provider Enumeration Date: 08/05/2019
Last Update Date: 01/04/2022

Medicare PECOS Information:

PECOS PAC ID: 6901136977
Enrollment ID: I20190918002257

Medical Identifiers

Medical identifiers for Colby Keith Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528613734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11002698 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West Florida Hospital	Pensacola, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intensive Care Consortium Inc	0244269413	376

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. Colby Keith Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Nautilus Health Care Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803

Entity Name	Intensive Care Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20050808000883

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. Colby Keith 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
Colby Keith Sullivan, ACNP Po Box 11982, Pensacola, FL 32524-1982 Ph: (850) 479-1805	Colby Keith Sullivan, ACNP 5149 N 9th Ave, Pensacola, FL 32504-8756 Ph: (850) 479-7200

Reviews and Comments

Nurse Practitioner Nurses in Pensacola, FL

Mrs. Victoria Lc Mccullers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Ste 200, Pensacola, FL 32504 Phone: 850-416-4970 Fax: 850-416-4969
Mrs. Jean Marie Houy, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-4501
Elizabeth N Baptista, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4901 Market Place Rd, Pensacola, FL 32504 Phone: 850-484-4080 Fax: 850-484-8801
Miss Julie Ann Stronski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Creighton Rd Ste 1, Pensacola, FL 32504 Phone: 504-444-4700 Fax: 850-444-7496
Anne Nadeige Jeantinor, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11000 University Pkwy, Pensacola, FL 32514 Phone: 954-663-8641
Mrs. Lauren Crane, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5153 N 9th Ave Ste 5c, Pensacola, FL 32504 Phone: 850-416-2554 Fax: 850-416-7442
Mrs. Tamberlynn Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Baptist Way Ste 5c, Pensacola, FL 32503 Phone: 448-227-6950

Colby Keith Sullivan, ACNP - Medicare Nurse Practitioner in Pensacola, FL