Dr Lee Richard Sullivan, AGNPC-AG in Athens, GA

Dr Lee Richard Sullivan, AGNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Athens, Georgia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Athens Orthopedic Clinic, Pa and his current practice location is 1765 Old West Broad St, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 549-1663.

Dr Lee Richard Sullivan is licensed to practice in Georgia (license number RN213335) 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 1326575952.

Contact Information

	Dr Lee Richard Sullivan, AGNPC-AG
	1765 Old West Broad St, Athens, GA 30606-2853
	(706) 549-1663
	(706) 546-8792

Map and Direction

Provider's Profile

Full Name	Dr Lee Richard Sullivan
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1765 Old West Broad St, Athens, Georgia
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:

Dr Lee Richard Sullivan graduated from nursing school in 2017

NPI Data:

NPI Number: 1326575952
Provider Enumeration Date: 05/14/2017
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6709143548
Enrollment ID: I20171201002353

Medical Identifiers

Medical identifiers for Dr Lee Richard Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326575952	NPI	-	NPPES
14182507	Other		CAQH NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN213335 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's Hospital	Athens, GA	Hospital
Piedmont Athens Regional Medical Center	Athens, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athens Orthopedic Clinic, Pa	5991600181	71

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. Dr Lee Richard Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Athens Orthopedic Clinic, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063495299 PECOS PAC ID: 5991600181 Enrollment ID: O20031201000709

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. Dr Lee Richard 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
Dr Lee Richard Sullivan, AGNPC-AG 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 Ph: (706) 549-1663	Dr Lee Richard Sullivan, AGNPC-AG 1765 Old West Broad St, Athens, GA 30606-2853 Ph: (706) 549-1663

Reviews and Comments

Nurse Practitioner Nurses in Athens, GA

Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976

Dr Lee Richard Sullivan, AGNPC-AG - Medicare Nurse Practitioner in Athens, GA