Jessicca Ann Sullivan, in Hoffman Estates, IL

Jessicca Ann Sullivan, is a medicare enrolled "Nurse Practitioner" in Hoffman Estates, Illinois. Her current practice location is 4885 Hoffman Blvd Ste 407, Hoffman Estates, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 484-0183.

Jessicca Ann Sullivan is licensed to practice in Illinois (license number 209024365) 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 1659028546.

Contact Information

	Jessicca Ann Sullivan,
	4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192-3726
	(224) 484-0183
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessicca Ann Sullivan
Gender	Female
Speciality	Nurse Practitioner
Location	4885 Hoffman Blvd Ste 407, Hoffman Estates, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659028546
Provider Enumeration Date: 03/09/2022
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 6002285269
Enrollment ID: I20221209000905

Medical Identifiers

Medical identifiers for Jessicca Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659028546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	209024365 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209024365 (Illinois)	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. Jessicca Ann Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Associates Of Lagrange Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780795856 PECOS PAC ID: 7113830951 Enrollment ID: O20031107000646

Entity Name	Beaird Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215383666 PECOS PAC ID: 6204126238 Enrollment ID: O20160603001275

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. Jessicca Ann 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
Jessicca Ann Sullivan, 4885 Hoffman Blvd Ste 400, Hoffman Estates, IL 60192-3727 Ph: (224) 484-0183	Jessicca Ann Sullivan, 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192-3726 Ph: (224) 484-0183

Reviews and Comments

Nurse Practitioner Nurses in Hoffman Estates, IL

Jennifer M. Leskis, A.P. N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4885 Hoffman Blvd Ste 400, Hoffman Estates, IL 60192 Phone: 847-255-9697 Fax: 847-255-3206
Andres Castillo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169 Phone: 630-717-2600
Ms. Angeline Heaver, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169 Phone: 847-843-7030 Fax: 630-848-9335
Marielle Mitchell, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1555 Barrington Rd Ste 2550, Hoffman Estates, IL 60169 Phone: 847-250-2487
Prof. Judith Ann Thommes, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 Barrington Rd. Suite 415, Alexian Bros Med Group - Peds Specialty Group, Hoffman Estates, IL 60169 Phone: 847-755-8677
Karen S Dicken, APN/CNS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1786 Moon Lake Blvd, #104, Hoffman Estates, IL 60169 Phone: 847-755-8090 Fax: 847-843-7393
Therese Draper, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1786 Moon Lake Blvd, Hoffman Estates, IL 60169 Phone: 847-843-2000

Jessicca Ann Sullivan, - Medicare Nurse Practitioner in Hoffman Estates, IL