Jacqueline S Sullivan, PA in Bay Shore, NY - Medicare Physician Assistant

Jacqueline S Sullivan, PA is a medicare enrolled "Physician Assistant" in Bay Shore, New York. Her current practice location is 301 E Main St, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at (631) 894-5447.

Jacqueline S Sullivan is licensed to practice in * (Not Available) (license number ) 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 1659829786.

Contact Information

	Jacqueline S Sullivan, PA
	301 E Main St, Bay Shore, NY 11706-8408
	(631) 894-5447
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline S Sullivan
Gender	Female
Speciality	Physician Assistant
Location	301 E Main St, Bay Shore, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659829786
Provider Enumeration Date: 09/19/2016
Last Update Date: 02/28/2017

Medicare PECOS Information:

PECOS PAC ID: 0345508289
Enrollment ID: I20171221002238

Medical Identifiers

Medical identifiers for Jacqueline S Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659829786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Jacqueline S 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
Jacqueline S Sullivan, PA 301 East Main Street, Bay Shore, NY 11706 Ph: (631) 894-5447	Jacqueline S Sullivan, PA 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 894-5447

Reviews and Comments

Physician Assistant Nurses in Bay Shore, NY

Priyanshi Chandiwala, Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Erik Schaeperkoetter, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Elizabeth Scuderi, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1555 Sunrise Hwy, Bay Shore, NY 11706 Phone: 631-968-0588
Mrs. Deborah Anne Maresca-palmieri, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Ms. Sonya Reid, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Ms. Lisa Ann Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Danielle Sophia Mirabella, Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000

Jacqueline S Sullivan, PA - Medicare Physician Assistant in Bay Shore, NY