Mrs Marin M Sullivan, CRNA in Woodland Hills, CA - Medicare Nurse Anesthetist, Certified Registered

Mrs Marin M Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Woodland Hills, California. Her current practice location is 5601 De Soto Ave, Woodland Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 719-2000.

Mrs Marin M Sullivan is licensed to practice in California (license number NA3126) 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 1114043379.

Contact Information

	Mrs Marin M Sullivan, CRNA
	5601 De Soto Ave, Woodland Hills, CA 91367-6701
	(818) 719-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Marin M Sullivan
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	5601 De Soto Ave, Woodland Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114043379
Provider Enumeration Date: 03/21/2007
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 3971547944
Enrollment ID: I20111121000221

Medical Identifiers

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

Identifier	Type	State	Issuer
1114043379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA3126 (California)	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. Mrs Marin M Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mrs Marin 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
Mrs Marin M Sullivan, CRNA 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2000	Mrs Marin M Sullivan, CRNA 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Woodland Hills, CA

Donna M Kary, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000
Megan M Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000
Elly K Yoo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000
Mrs. Laura Susan Van Rossum, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5601 De Soto Ave, Dept Of Anesthesia, Woodland Hills, CA 91367 Phone: 818-719-2695
Janice D Weitz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000
Gloria C Angeles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5826 Kelvin Ave, Woodland Hills, CA 91367 Phone: 818-932-0450 Fax: 818-518-3537

Mrs Marin M Sullivan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Woodland Hills, CA