Hazel Leann Sullivan, AG- ACNP in Meridian, MS

Hazel Leann Sullivan, AG- ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Meridian, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Foundation Inc and her current practice location is 1314 19th Ave, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 483-0011.

Hazel Leann Sullivan is licensed to practice in Mississippi (license number R854988) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679995112.

Contact Information

	Hazel Leann Sullivan, AG- ACNP
	1314 19th Ave, Meridian, MS 39301-4116
	(601) 483-0011
	Not Available

Map and Direction

Provider's Profile

Full Name	Hazel Leann Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1314 19th Ave, Meridian, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hazel Leann Sullivan graduated from nursing school in 2013

NPI Data:

NPI Number: 1679995112
Provider Enumeration Date: 01/18/2014
Last Update Date: 01/18/2014

Medicare PECOS Information:

PECOS PAC ID: 0042530552
Enrollment ID: I20170510000901

Medical Identifiers

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

Identifier	Type	State	Issuer
1679995112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R854988 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rush Foundation Hospital	Meridian, MS	Hospital
Anderson Regional Medical Ctr	Meridian, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Foundation Inc	9234043712	124

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. Hazel Leann Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855

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. Hazel Leann 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
Hazel Leann Sullivan, AG- ACNP 2016 Little Rock Decatur Rd, Decatur, MS 39327-9118 Ph: (601) 416-7816	Hazel Leann Sullivan, AG- ACNP 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 483-0011

Reviews and Comments

Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700
Miss Mattie P Hopson, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 20th Ave Ste D, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-703-8459
Patti Suzanne Weaver, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4065 Fax: 601-703-3050

Hazel Leann Sullivan, AG- ACNP - Medicare Nurse Practitioner in Meridian, MS