Laurie Sullivan, ARNP in Tampa, FL - Medicare Nurse Practitioner

Laurie Sullivan, ARNP is a medicare enrolled "Nurse Practitioner" in Tampa, Florida. Her current practice location is 12902 Usf Magnolia Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 745-4673.

Laurie Sullivan is licensed to practice in Florida (license number ARNP2153932) 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 1073529582.

Contact Information

	Laurie Sullivan, ARNP
	12902 Usf Magnolia Dr, Tampa, FL 33612-9416
	(813) 745-4673
	Not Available

Map and Direction

Provider's Profile

Full Name	Laurie Sullivan
Gender	Female
Speciality	Nurse Practitioner
Location	12902 Usf Magnolia Dr, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073529582
Provider Enumeration Date: 08/01/2006
Last Update Date: 06/12/2014

Medicare PECOS Information:

PECOS PAC ID: 0143117887
Enrollment ID: I20040228000051

Medical Identifiers

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

Identifier	Type	State	Issuer
1073529582	NPI	-	NPPES
Y036B	Other	FL	BLUE CROSS BLUE SHIELD
305702000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP2153932 (Florida)	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. Laurie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575

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. Laurie 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
Laurie Sullivan, ARNP 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: () -	Laurie Sullivan, ARNP 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-4673

Reviews and Comments

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Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
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Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Laurie Sullivan, ARNP - Medicare Nurse Practitioner in Tampa, FL