Kathleen M Sullivan, APRN in Lago Vista, TX - Medicare Nurse Practitioner

Kathleen M Sullivan, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lago Vista, Texas. Her current practice location is 20511 Sunset Ln, Lago Vista, Texas. You can reach out to her office (for appointments etc.) via phone at (860) 460-1211.

Kathleen M Sullivan is licensed to practice in Rhode Island (license number NPP37789) 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 1306095955.

Contact Information

	Kathleen M Sullivan, APRN
	20511 Sunset Ln, Lago Vista, TX 78645-6245
	(860) 460-1211
	(860) 760-6113

Map and Direction

Provider's Profile

Full Name	Kathleen M Sullivan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	20511 Sunset Ln, Lago Vista, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306095955
Provider Enumeration Date: 09/18/2008
Last Update Date: 09/11/2018

Medicare PECOS Information:

PECOS PAC ID: 1951460351
Enrollment ID: I20081029000876

Medical Identifiers

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

Identifier	Type	State	Issuer
1306095955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NPP37789 (Rhode Island)	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. Kathleen M Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Family Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265477780 PECOS PAC ID: 6507753324 Enrollment ID: O20040304000351

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. Kathleen M 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
Kathleen M Sullivan, APRN 20511 Sunset Ln, Lago Vista, TX 78645-6245 Ph: (860) 460-1211	Kathleen M Sullivan, APRN 20511 Sunset Ln, Lago Vista, TX 78645-6245 Ph: (860) 460-1211

Reviews and Comments

Nurse Practitioner Nurses in Lago Vista, TX

Roberto B. D'lorm, GNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4032 Outpost Trce, Lago Vista, TX 78645 Phone: 512-364-8494 Fax: 512-267-1362
Ms. Karin S Fagner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Lohmans Ford Rd, Unit 25, Lago Vista, TX 78645 Phone: 512-917-1109
Page Tenile Crouch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4208 Hillside Dr, Lago Vista, TX 78645 Phone: 512-567-8461
Mark W. Weipert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6502 Lohmans Ford Rd, Lago Vista, TX 78645 Phone: 512-267-3213
Mrs. Shannon Lorraine-konopik Wassel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8808 Bronco Lane, Suite 1, Lago Vista, TX 78645 Phone: 512-267-1877
Courtney Garth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6502 Lohmans Ford Rd, Lago Vista, TX 78645 Phone: 512-654-3300

Kathleen M Sullivan, APRN - Medicare Nurse Practitioner in Lago Vista, TX