David Yutaka Sullivan, FNP in Winslow, AZ - Medicare Nurse Practitioner

David Yutaka Sullivan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Winslow, Arizona. 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 Winslow Indian Health Care Center Inc and his current practice location is 500 Indiana Ave, Winslow, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 289-6230.

David Yutaka Sullivan is licensed to practice in Arizona (license number 224965) 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 1962751545.

Contact Information

	David Yutaka Sullivan, FNP
	500 Indiana Ave, Winslow, AZ 86047-2169
	(928) 289-6230
	(928) 289-6229

Map and Direction

Provider's Profile

Full Name	David Yutaka Sullivan
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	500 Indiana Ave, Winslow, Arizona
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:

David Yutaka Sullivan graduated from nursing school in 2019

NPI Data:

NPI Number: 1962751545
Provider Enumeration Date: 08/29/2012
Last Update Date: 04/25/2019

Medicare PECOS Information:

PECOS PAC ID: 6709114267
Enrollment ID: I20190821002249

Medical Identifiers

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

Identifier	Type	State	Issuer
1962751545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP2201X	Registered Nurse - Ambulatory Care	RN174273 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	224965 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Winslow Indian Health Care Center Inc	4284548991	75

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. David Yutaka Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Winslow Indian Health Care Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184729493 PECOS PAC ID: 4284548991 Enrollment ID: O20031117000864

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. David Yutaka 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
David Yutaka Sullivan, FNP 500 Indiana Ave, Winslow, AZ 86047-2169 Ph: (928) 289-6230	David Yutaka Sullivan, FNP 500 Indiana Ave, Winslow, AZ 86047-2169 Ph: (928) 289-6230

Reviews and Comments

Nurse Practitioner Nurses in Winslow, AZ

Bonnie Jean Foster, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 219 W Fourth St, Winslow, AZ 86047 Phone: 602-743-3292
Theresa Stone Salvatore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Lee St, Winslow, AZ 86047 Phone: 928-289-2000
Jessica L Fugatt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Lee St, Winslow, AZ 86047 Phone: 928-289-3396
Dale Norton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 N Williamson Ave, Winslow, AZ 86047 Phone: 928-289-4691
Ms. Stephanie M Crihfield, RN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Jonnie Ln, Winslow, AZ 86047 Phone: 304-377-3085
Stephen Mccrosky, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 Lee St, Winslow, AZ 86047 Phone: 928-289-2000 Fax: 928-289-0036
Mr. Michael Brathwaite, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 S Highway 87, Winslow, AZ 86047 Phone: 928-289-9551

David Yutaka Sullivan, FNP - Medicare Nurse Practitioner in Winslow, AZ