Icel R Sullivan, ARNP in Richland, WA - Medicare Nurse Practitioner

Icel R Sullivan, ARNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Richland, Washington. Her current practice location is 888 Swift Blvd, Richland, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 946-4611.

Icel R Sullivan is licensed to practice in Washington (license number AP61060250) 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 1770116436.

Contact Information

	Icel R Sullivan, ARNP
	888 Swift Blvd, Richland, WA 99352-3514
	(509) 946-4611
	Not Available

Map and Direction

Provider's Profile

Full Name	Icel R Sullivan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	888 Swift Blvd, Richland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770116436
Provider Enumeration Date: 02/20/2020
Last Update Date: 11/11/2021

Medicare PECOS Information:

PECOS PAC ID: 0345639266
Enrollment ID: I20211116000795

Medical Identifiers

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

Identifier	Type	State	Issuer
1770116436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN00164194 (Washington)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	AP61060250 (Washington)	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. Icel R Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Kadlec Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035

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. Icel R 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
Icel R Sullivan, ARNP 550 Gage Blvd Ste 101, Richland, WA 99352-9532 Ph: (971) 358-2390	Icel R Sullivan, ARNP 888 Swift Blvd, Richland, WA 99352-3514 Ph: (509) 946-4611

Reviews and Comments

Nurse Practitioner Nurses in Richland, WA

Tracy Candace W. Degenstein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Torbett St Ste 101, Richland, WA 99354 Phone: 509-427-1450 Fax: 509-427-1490
Kathryn S Brault, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Mansfield St Ste 4, Richland, WA 99352 Phone: 509-946-6124 Fax: 866-692-4493
Somrit Koy Tim, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Goethals Dr Ste E3, Richland, WA 99352 Phone: 509-942-2986 Fax: 509-942-3097
Ms. Anne Campbell Laucella, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2648
Ms. Jennifer Lee Barden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 George Washington Way, Richland, WA 99354 Phone: 888-227-3312 Fax: 509-622-2707
Christa Heidi Moore, ADN,BSN,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2630 Fax: 509-942-2007
Antonette Lynn Harvill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2887

Icel R Sullivan, ARNP - Medicare Nurse Practitioner in Richland, WA