Jyssica Sullivan, NP in Mangham, LA - Medicare Nurse Practitioner

Jyssica Sullivan, NP is a medicare enrolled "Nurse Practitioner - Family" in Mangham, Louisiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Monroe Surgical Hospital, Llc and her current practice location is 261 Highway 132, Mangham, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 248-2807.

Jyssica Sullivan is licensed to practice in Louisiana (license number AP09853) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942702832.

Contact Information

	Jyssica Sullivan, NP
	261 Highway 132, Mangham, LA 71259-5269
	(318) 248-2807
	(318) 248-2967

Map and Direction

Provider's Profile

Full Name	Jyssica Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	261 Highway 132, Mangham, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jyssica Sullivan graduated from nursing school in 2017

NPI Data:

NPI Number: 1942702832
Provider Enumeration Date: 03/06/2018
Last Update Date: 08/07/2019

Medicare PECOS Information:

PECOS PAC ID: 9133484751
Enrollment ID: I20180601001735

Medical Identifiers

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

Identifier	Type	State	Issuer
1942702832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP09853 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monroe Surgical Hospital	Monroe, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Monroe Surgical Hospital, Llc	5294725297	8

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. Jyssica Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Monroe Surgical Hospital, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225031495 PECOS PAC ID: 5294725297 Enrollment ID: O20040513000085

Entity Name	Affinity Health Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088

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. Jyssica 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
Jyssica Sullivan, NP 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875	Jyssica Sullivan, NP 261 Highway 132, Mangham, LA 71259-5269 Ph: (318) 248-2807

Reviews and Comments

Nurse Practitioner Nurses in Mangham, LA

Ashley N Hale, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967
Mrs. Elizabeth Hoskins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967
Penny Cummins Montcalm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967
Mrs. Terri Lynn Klick, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Lela St, Mangham, LA 71259 Phone: 318-248-4100 Fax: 318-248-4103
Benjamin W Hayden, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967

Jyssica Sullivan, NP - Medicare Nurse Practitioner in Mangham, LA