Miss Kendell Ann Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Willow Springs, Illinois. 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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1659569622
- Provider Enumeration Date: 10/04/2007
- Last Update Date: 04/06/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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