Corey Sullivan, CRNA in Quincy, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Corey Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Quincy, Illinois. He went to Rush Medical College Of Rush University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Blessing Hospital and his current practice location is 1005 Broadway St, Quincy, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 223-8400.

Corey Sullivan is licensed to practice in Illinois (license number 209012309) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1790173557.

Contact Information

	Corey Sullivan, CRNA
	1005 Broadway St, Quincy, IL 62301-2834
	(217) 223-8400
	(217) 223-9945

Map and Direction

Provider's Profile

Full Name	Corey Sullivan
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	1005 Broadway St, Quincy, Illinois
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Corey Sullivan attended and graduated from Rush Medical College Of Rush University in 2014

NPI Data:

NPI Number: 1790173557
Provider Enumeration Date: 01/02/2015
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6204151350
Enrollment ID: I20150211002136

Medical Identifiers

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

Identifier	Type	State	Issuer
1790173557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209012309 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Blessing Hospital	Quincy, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blessing Hospital	3072422534	349

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. Corey Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Blessing Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155

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. Corey 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
Corey Sullivan, CRNA 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400	Corey Sullivan, CRNA 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Quincy, IL

Kaleigh C Kuhlman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-222-6220
Ryan Teheng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090
Tamara Christene Mcdonald, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552
Hannah Porter Wolinski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200
Brian Kartchner Farrer, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400
Mary Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 Fax: 217-277-6778
David Alva Thompson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552

Corey Sullivan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Quincy, IL