Jacqueline Yvonne Sullivan, CNM in Hagerstown, MD - Medicare Certified Nurse Midwife (cnm)

Jacqueline Yvonne Sullivan, CNM is a medicare enrolled "Advanced Practice Midwife" in Hagerstown, Maryland. She went to Georgetown University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Capital Womens Care Llc and her current practice location is 1165 Imperial Dr Ste 200, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 665-9098.

Jacqueline Yvonne Sullivan is licensed to practice in Pennsylvania (license number MW010272) 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 1679847107.

Contact Information

	Jacqueline Yvonne Sullivan, CNM
	1165 Imperial Dr Ste 200, Hagerstown, MD 21740-6583
	(301) 665-9098
	(301) 665-9096

Map and Direction

Provider's Profile

Full Name	Jacqueline Yvonne Sullivan
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	13 Years
Location	1165 Imperial Dr Ste 200, Hagerstown, Maryland
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:

Jacqueline Yvonne Sullivan attended and graduated from Georgetown University School Of Medicine in 2011

NPI Data:

NPI Number: 1679847107
Provider Enumeration Date: 03/01/2012
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 9436312709
Enrollment ID: I20230103003028

Medical Identifiers

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

Identifier	Type	State	Issuer
1679847107	NPI	-	NPPES
102733511	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	MW010272 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capital Womens Care Llc	4880582741	267

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. Jacqueline Yvonne Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Capital Womens Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679534069 PECOS PAC ID: 4880582741 Enrollment ID: O20050804000705

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 Yvonne 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 Yvonne Sullivan, CNM 8110 Maple Lawn Blvd Ste 235, Fulton, MD 20759-2694 Ph: (301) 340-8339	Jacqueline Yvonne Sullivan, CNM 1165 Imperial Dr Ste 200, Hagerstown, MD 21740-6583 Ph: (301) 665-9098

Reviews and Comments

Advanced Practice Midwife Nurses in Hagerstown, MD

Kendra S Magner, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd Ste 249, Hagerstown, MD 21742 Phone: 301-714-4100 Fax: 301-714-4101
Amanda Jane Mills, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1165 Imperial Dr, Hagerstown, MD 21740 Phone: 301-665-9098 Fax: 240-485-3096
Ms. Margianna Stotelmyer Toms, CRNM CRNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 15844 Fairview Rd, Hagerstown, MD 21740 Phone: 301-992-3724
Andrea Dina Groag, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1165 Imperial Dr, Suite 300, Hagerstown, MD 21740 Phone: 310-665-9098 Fax: 301-665-9096
Anna Harty, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 11110 Medical Campus Rd Ste 249, Hagerstown, MD 21742 Phone: 301-714-4100
Cynthia Carter-malcolm, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Suite 249, Hagerstown, MD 21742 Phone: 301-714-4100 Fax: 301-714-4101
Tia L Fix, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1165 Imperial Dr Ste 300, Hagerstown, MD 21740 Phone: 301-665-9098 Fax: 301-665-9096

Jacqueline Yvonne Sullivan, CNM - Medicare Certified Nurse Midwife (cnm) in Hagerstown, MD