Miss Kendell Ann Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Willow Springs, Illinois. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Loyola University Medical Center and her current practice location is
1396 Oak Ridge Ct, Willow Springs, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 865-0337.
Miss Kendell Ann Sullivan is licensed to practice in Illinois (license number 209003976) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659569622.
Provider's Profile
Full Name | Miss Kendell Ann Sullivan |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 23 Years |
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Location | 1396 Oak Ridge Ct, Willow Springs, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Miss Kendell Ann Sullivan graduated from nursing school in 2001
NPI Data:
- NPI Number: 1659569622
- Provider Enumeration Date: 10/04/2007
- Last Update Date: 04/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 3870558828
- Enrollment ID: I20041201000563
Medical Identifiers
Medical identifiers for Miss Kendell Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659569622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041299781 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209003976 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Loyola University Medical Center | 3779488903 | 857 |
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. Miss Kendell Ann Sullivan allows following entities to bill medicare on her behalf.
Entity Name | Windy City Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932248622 PECOS PAC ID: 9234033572 Enrollment ID: O20031120000022 |
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Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
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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. Miss Kendell Ann 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 |
Miss Kendell Ann Sullivan, CRNA 1396 Oak Ridge Ct, Willow Springs, IL 60480-1369 Ph: (312) 865-0337 | Miss Kendell Ann Sullivan, CRNA 1396 Oak Ridge Ct, Willow Springs, IL 60480-1369 Ph: (312) 865-0337 |
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