Emily Richards Sullivan, in Burlingame, CA - Medicare Nurse Practitioner

Emily Richards Sullivan, is a medicare enrolled "Nurse Practitioner - Family" in Burlingame, California. Her current practice location is 1501 Trousdale Dr, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at (650) 652-8600.

Emily Richards Sullivan is licensed to practice in California (license number 95000658) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124322060.

Contact Information

	Emily Richards Sullivan,
	1501 Trousdale Dr, Burlingame, CA 94010-4506
	(650) 652-8600
	Not Available

Map and Direction

Provider's Profile

Full Name	Emily Richards Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1501 Trousdale Dr, Burlingame, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124322060
Provider Enumeration Date: 01/07/2011
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0749579480
Enrollment ID: I20160901000644

Medical Identifiers

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

Identifier	Type	State	Issuer
1124322060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95000658 (California)	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. Emily Richards Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Emily Richards 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
Emily Richards Sullivan, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (415) 600-1151	Emily Richards Sullivan, 1501 Trousdale Dr, Burlingame, CA 94010-4506 Ph: (650) 652-8600

Reviews and Comments

Nurse Practitioner Nurses in Burlingame, CA

Mr. Francisco Jesus Virgen-giron, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 329 Primrose Rd, Burlingame, CA 94010 Phone: 650-288-1200 Fax: 650-288-4180
Shian Li Luo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1828 El Camino Real Ste 405, Burlingame, CA 94010 Phone: 650-651-7175
Mr. Vu Nhu Dinh, AGPCNP-C, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8500
Elizabeth Anne Mcmichael, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Lorton Ave, Burlingame, CA 94010 Phone: 650-249-9110
Jason Overby, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5382
Nancy Thuy Bui, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8350 Fax: 650-652-8352

Emily Richards Sullivan, - Medicare Nurse Practitioner in Burlingame, CA