Johanna Sullivan, PA in North Haven, CT - Medicare Physician Assistant

Johanna Sullivan, PA is a medicare enrolled "Physician Assistant" in North Haven, Connecticut. Her current practice location is 370 Bassett Rd, North Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (917) 435-0238.

Johanna 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 1952036394.

Contact Information

	Johanna Sullivan, PA
	370 Bassett Rd, North Haven, CT 06473-4201
	(917) 435-0238
	Not Available

Map and Direction

Provider's Profile

Full Name	Johanna Sullivan
Gender	Female
Speciality	Physician Assistant
Location	370 Bassett Rd, North Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952036394
Provider Enumeration Date: 07/20/2022
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2567816341
Enrollment ID: I20230927002895

Medical Identifiers

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

Identifier	Type	State	Issuer
1952036394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	Secondary
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. Johanna 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
Johanna Sullivan, PA 370 Bassett Rd, North Haven, CT 06473-4201 Ph: (917) 435-0238	Johanna Sullivan, PA 370 Bassett Rd, North Haven, CT 06473-4201 Ph: (917) 435-0238

Reviews and Comments

Physician Assistant Nurses in North Haven, CT

Henry Ainsley Highman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Devine St, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614
Alyson Buck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15 Country Way, North Haven, CT 06473 Phone: 267-312-3142
Emily Kushnerov, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 370 Bassett Rd, North Haven, CT 06473 Phone: 203-582-7766
Rebecca Jude Grillo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 52 Washington Ave, Suite 4, North Haven, CT 06473 Phone: 203-672-2800 Fax: 203-672-2801
Mr. Austin K Lipsey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 370 Bassett Rd, North Haven, CT 06473 Phone: 203-582-7766
Julie Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 370 Bassett Rd, North Haven, CT 06473 Phone: 203-582-7766
Juan Franco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 163 Universal Dr N, North Haven, CT 06473 Phone: 203-874-3682

Johanna Sullivan, PA - Medicare Physician Assistant in North Haven, CT