Jacquelyn Marie Sullivan, NURSE PRACTITIONER in Durham, NC

Jacquelyn Marie Sullivan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Durham, North Carolina. Her current practice location is 2301 Erwin Rd, Department Of Surgery, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 864-8111.

Jacquelyn Marie Sullivan is licensed to practice in Ohio (license number 08877) 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 1912908740.

Contact Information

	Jacquelyn Marie Sullivan, NURSE PRACTITIONER
	2301 Erwin Rd, Department Of Surgery, Durham, NC 27705-4699
	(919) 864-8111
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquelyn Marie Sullivan
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2301 Erwin Rd, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912908740
Provider Enumeration Date: 08/02/2005
Last Update Date: 04/16/2017

Medicare PECOS Information:

PECOS PAC ID: 3870548860
Enrollment ID: I20171122002551

Medical Identifiers

Medical identifiers for Jacquelyn Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912908740	NPI	-	NPPES
200191600	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	08877 (Ohio)	Primary
363LG0600X	Nurse Practitioner - Gerontology	08877 (Ohio)	Secondary

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. Jacquelyn Marie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Duke University Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376574798 PECOS PAC ID: 2567372345 Enrollment ID: O20031126000274

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. Jacquelyn Marie 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
Jacquelyn Marie Sullivan, NURSE PRACTITIONER 2301 Erwin Rd, Department Of Surgery, Durham, NC 27705-4699 Ph: (919) 864-8111	Jacquelyn Marie Sullivan, NURSE PRACTITIONER 2301 Erwin Rd, Department Of Surgery, Durham, NC 27705-4699 Ph: (919) 864-8111

Reviews and Comments

Nurse Practitioner Nurses in Durham, NC

Rebekah Doiron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111
Jordan Mckenzie-solis, APRN, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111
Allison Gibson, MSN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Duke Medicine Cir, Durham, NC 27710 Phone: 919-385-8341
Jennifer Snyder, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 Ashford Ln, Durham, NC 27713 Phone: 330-472-8733
Mrs. Jaimie Ann Devine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 W Main St Ste 18a, Durham, NC 27701 Phone: 888-663-6331
Priscila M Tomlin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8315 Morrell Ln, Durham, NC 27713 Phone: 919-491-4661
Josephine Winifred Hazeley, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1415 Nc-54 Suite 105, Durham, NC 27707 Phone: 919-275-1405

Jacquelyn Marie Sullivan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Durham, NC