Megan Shannon Sullivan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Uxbridge, Massachusetts. Her current practice location is
167 Glendale St, Uxbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 870-3642.
Megan Shannon Sullivan is licensed to practice in Massachusetts (license number RN2280110) 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 1295345049.
Provider's Profile
Full Name | Megan Shannon Sullivan |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 167 Glendale St, Uxbridge, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295345049
- Provider Enumeration Date: 08/06/2020
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961819503
- Enrollment ID: I20210329000696
Medical Identifiers
Medical identifiers for Megan Shannon Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295345049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN2280110 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN2280110 (Massachusetts) | 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. Megan Shannon Sullivan allows following entities to bill medicare on her behalf.
Entity Name | Lawrence Anesthesia Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467699918 PECOS PAC ID: 4082770136 Enrollment ID: O20090225000707 |
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Entity Name | Milford Anesthesia Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437784261 PECOS PAC ID: 0446671333 Enrollment ID: O20200601002798 |
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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. Megan Shannon 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 |
Megan Shannon Sullivan, 167 Glendale St, Uxbridge, MA 01569-2124 Ph: () - | Megan Shannon Sullivan, 167 Glendale St, Uxbridge, MA 01569-2124 Ph: (978) 870-3642 |
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