Jamie Sullivan, CRNP - Medicare Nurse Practitioner in Honesdale, PA

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Jamie Sullivan, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Honesdale, Pennsylvania. Her current practice location is 600 Maple Ave Ste 15, Honesdale, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 253-8219.

Jamie Sullivan is licensed to practice in Pennsylvania (license number SP018680) 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 1407353717.

Contact Information

Jamie Sullivan, CRNP
600 Maple Ave Ste 15,
Honesdale, PA 18431-1460
(570) 253-8219
Not Available

Map and Direction




Provider's Profile

Full NameJamie Sullivan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location600 Maple Ave Ste 15, Honesdale, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407353717
  • Provider Enumeration Date: 04/12/2018
  • Last Update Date: 04/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173887767
  • Enrollment ID: I20180508000079

Medical Identifiers

Medical identifiers for Jamie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407353717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health SP018680 (Pennsylvania)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. Jamie Sullivan allows following entities to bill medicare on her behalf.
Entity NameWayne Memorial Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952395121
PECOS PAC ID: 3072598937
Enrollment ID: O20040623001109

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. Jamie 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
Jamie Sullivan, CRNP
601 Park St,
Honesdale, PA 18431-1445

Ph: (570) 253-8219		Jamie Sullivan, CRNP
600 Maple Ave Ste 15,
Honesdale, PA 18431-1460

Ph: (570) 253-8219

Reviews and Comments


Nurse Practitioner Nurses in Honesdale, PA

Mr. Joseph Ungvarsky Jr., PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 600 Maple Ave Ste 15, Honesdale, PA 18431
Phone: 570-253-8219    
Perry Jon Langbein, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 273 Grandview Ave, Honesdale, PA 18431
Phone: 570-390-4545    
Carol Rickard Lienert, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 601 Park St, Emergency Department, Honesdale, PA 18431
Phone: 570-253-8140    
Christina Cobb, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Maple Ave Ste 4, Honesdale, PA 18431
Phone: 570-253-8643    
Donna Sloane, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1839 Fair Ave, Honesdale, PA 18431
Phone: 570-251-6500    
David Mcallister, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 351 Slish Rd, Honesdale, PA 18431
Phone: 570-226-2200    Fax: 570-226-2208
April Alexander, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1839 Fair Ave, Honesdale, PA 18431
Phone: 570-251-6500    

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.