Devin Sullivan, DNP in Saint Joseph, MI - Medicare Nurse Practitioner

Devin Sullivan, DNP is a medicare enrolled "Nurse Practitioner" in Saint Joseph, Michigan. His current practice location is 1234 Napier Ave, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 983-8300.

Devin Sullivan is licensed to practice in Michigan (license number 4704316057) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730966102.

Contact Information

	Devin Sullivan, DNP
	1234 Napier Ave, Saint Joseph, MI 49085-2112
	(269) 983-8300
	Not Available

Map and Direction

Provider's Profile

Full Name	Devin Sullivan
Gender	Male
Speciality	Nurse Practitioner
Location	1234 Napier Ave, Saint Joseph, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730966102
Provider Enumeration Date: 09/11/2023
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4082065917
Enrollment ID: I20240104003794

Medical Identifiers

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

Identifier	Type	State	Issuer
1730966102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704316057 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704316057 (Michigan)	Primary

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

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

Entity Name	Epmg Southwest Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316405103 PECOS PAC ID: 2769719236 Enrollment ID: O20190806002532

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. Devin 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
Devin Sullivan, DNP 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8300	Devin Sullivan, DNP 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8300

Reviews and Comments

Nurse Practitioner Nurses in Saint Joseph, MI

Holly Carrizales, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8601
Miriam Mekila Morgan-skinner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307
Allison Kristen Elizabeth Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300
Jennifer Ann Soper, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2690 S Cleveland Ave, Saint Joseph, MI 49085 Phone: 269-428-2800
Charsie A Nealey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307
Suzan C Robarge, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Miners Rd, Saint Joseph, MI 49085 Phone: 269-408-1688 Fax: 269-408-1692
Abena F Amponsah, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307

Devin Sullivan, DNP - Medicare Nurse Practitioner in Saint Joseph, MI