Heather Sullivan, FNP - Medicare Nurse Practitioner in Bandon, OR

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Heather Sullivan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bandon, Oregon. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Crm Physicians Llc and her current practice location is 110 10th St Se, Bandon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 347-2313.

Heather Sullivan is licensed to practice in Oregon (license number 201607221NP-PP) 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 1205383890.

Contact Information

Heather Sullivan, FNP
110 10th St Se,
Bandon, OR 97411-9157
(541) 347-2313
(541) 347-2015

Map and Direction




Provider's Profile

Full NameHeather Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location110 10th St Se, Bandon, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heather Sullivan graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1205383890
  • Provider Enumeration Date: 09/01/2016
  • Last Update Date: 09/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517248958
  • Enrollment ID: I20190816001826

Medical Identifiers

Medical identifiers for Heather Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205383890NPI-NPPES
500766156MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 200341475RN (Oregon)Secondary
363LF0000XNurse Practitioner - Family 117094 (Alaska)Secondary
363LF0000XNurse Practitioner - Family 201607221NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crm Physicians Llc367872072928

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. Heather Sullivan allows following entities to bill medicare on her behalf.
Entity NameNorth Bend Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138
Entity NameCrm Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952674996
PECOS PAC ID: 3678720729
Enrollment ID: O20120824000811
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191220002077

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. Heather 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 AddressPractice Location Address
Heather Sullivan, FNP
110 10th St Se,
Bandon, OR 97411-9157

Ph: (541) 347-2313		Heather Sullivan, FNP
110 10th St Se,
Bandon, OR 97411-9157

Ph: (541) 347-2313

Reviews and Comments


Nurse Practitioner Nurses in Bandon, OR

Anna Delaine Dodd, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 10th St Se, Bandon, OR 97411
Phone: 541-347-5191    Fax: 541-347-2015
Stephanie Ann Empson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411
Phone: 541-347-2529    
Amanda Stone, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411
Phone: 541-347-2529    
Mary Nell Anker, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 110 10th St Se, Bandon, OR 97411
Phone: 541-347-2313    Fax: 541-347-2015
Diane Michele Reid, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411
Phone: 541-347-2529    
Angela Heather Marcucilli, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 10th St Se, Bandon, OR 97411
Phone: 541-347-2313    
Ms. Ingrid Maria Tyson, MS FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 780 2nd St Se, Bandon, OR 97411
Phone: 541-347-2529    Fax: 541-347-9196

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.