Lori Sullivan, APRN in Palm Bay, FL - Medicare Nurse Practitioner

Lori Sullivan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Palm Bay, Florida. Her current practice location is 458 Treemont Ave Sw, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 871-1726.

Lori Sullivan is licensed to practice in Florida (license number F09210413) 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 1902566920.

Contact Information

	Lori Sullivan, APRN
	458 Treemont Ave Sw, Palm Bay, FL 32908-3535
	(386) 871-1726
	Not Available

Map and Direction

Provider's Profile

Full Name	Lori Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	458 Treemont Ave Sw, Palm Bay, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902566920
Provider Enumeration Date: 12/20/2021
Last Update Date: 01/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3072979913
Enrollment ID: I20230518000538

Medical Identifiers

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

Identifier	Type	State	Issuer
1902566920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F09210413 (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. Lori Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210429000604

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. Lori 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
Lori Sullivan, APRN 458 Treemont Ave Sw, Palm Bay, FL 32908-3535 Ph: (386) 871-1726	Lori Sullivan, APRN 458 Treemont Ave Sw, Palm Bay, FL 32908-3535 Ph: (386) 871-1726

Reviews and Comments

Nurse Practitioner Nurses in Palm Bay, FL

Sandra L Armstrong, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-312-3462 Fax: 321-409-6812
Ms. Beverley W. Spalding, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 Daton Rd Sw, Palm Bay, FL 32908 Phone: 321-723-4820
Dr. Melissa Ann Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 490 Centre Lake Dr Ne Ste 200b, Palm Bay, FL 32907 Phone: 530-788-6901 Fax: 321-394-9425
Mrs. Pierrela Mikael Longchamp, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 811 Dateland Rd Se, Palm Bay, FL 32909 Phone: 754-244-3241
Keri Beth Gagnon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Malabar Rd Se Ste 2, Palm Bay, FL 32907 Phone: 321-802-6590
Milena Tellechea Casanueva, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 761 Santo Domingo Ave Sw, Palm Bay, FL 32908 Phone: 305-878-3037
Mrs. Sydney Nicole Elalfi, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1860 Hallendale Ave Sw, Palm Bay, FL 32908 Phone: 321-506-9335

Lori Sullivan, APRN - Medicare Nurse Practitioner in Palm Bay, FL