Julie Marie Sullivan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eden, New York. Her current practice location is
8949 Hammond Dr, Eden, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 310-4403.
Julie Marie Sullivan is licensed to practice in New York (license number F403933-01) 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 1093468050.
Provider's Profile
Full Name | Julie Marie Sullivan |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 8949 Hammond Dr, Eden, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093468050
- Provider Enumeration Date: 01/31/2022
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688047400
- Enrollment ID: I20230227000993
Medical Identifiers
Medical identifiers for Julie Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093468050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403933-01 (New York) | 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. Julie Marie Sullivan allows following entities to bill medicare on her behalf.
Entity Name | The Family Counseling Center Of Fulton County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164473831 PECOS PAC ID: 0042283335 Enrollment ID: O20040816000523 |
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Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230803003025 |
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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. Julie 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 |
Julie Marie Sullivan, PMHNP 8949 Hammond Dr, Eden, NY 14057-9561 Ph: (716) 310-4403 | Julie Marie Sullivan, PMHNP 8949 Hammond Dr, Eden, NY 14057-9561 Ph: (716) 310-4403 |
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