Michael Daris Sullivan, NP in Charlotte, NC - Medicare Nurse Practitioner

Michael Daris Sullivan, NP is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Carolina Neurosurgery And Spine Associates Pa, Carolina Neurosurgery And Spine Associates Pa and his current practice location is 225 Baldwin Ave, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 376-1605.

Michael Daris Sullivan is licensed to practice in North Carolina (license number 5017901) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679935514.

Contact Information

	Michael Daris Sullivan, NP
	225 Baldwin Ave, Charlotte, NC 28204-3109
	(704) 376-1605
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Daris Sullivan
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	225 Baldwin Ave, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Daris Sullivan graduated from nursing school in 2015

NPI Data:

NPI Number: 1679935514
Provider Enumeration Date: 03/21/2016
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2466737622
Enrollment ID: I20170330001457

Medical Identifiers

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

Identifier	Type	State	Issuer
1679935514	NPI	-	NPPES
1679935514	Medicaid	NC
NP4364	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	20059 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5017901 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital
Stanly Regional Medical Center	Albemarle, NC	Hospital
Atrium Health Cleveland	Shelby, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Neurosurgery And Spine Associates Pa	7214833375	103
Carolina Neurosurgery And Spine Associates Pa	7214833375	103

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. Michael Daris Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Carolina Neurosurgery & Spine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154384568 PECOS PAC ID: 7214833375 Enrollment ID: O20040121000059

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Michael Daris 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
Michael Daris Sullivan, NP 225 Baldwin Ave, Charlotte, NC 28204-3109 Ph: (704) 376-1605	Michael Daris Sullivan, NP 225 Baldwin Ave, Charlotte, NC 28204-3109 Ph: (704) 376-1605

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Michael Daris Sullivan, NP - Medicare Nurse Practitioner in Charlotte, NC