Stephanie Schroot Sullivan, FNP-BC in Londonderry, NH

Stephanie Schroot Sullivan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Londonderry, New Hampshire. Her current practice location is 42 Nashua Road, Londonderry, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 413-6800.

Stephanie Schroot Sullivan is licensed to practice in New Hampshire (license number 080033-23) 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 1306985783.

Contact Information

	Stephanie Schroot Sullivan, FNP-BC
	42 Nashua Road, Londonderry, NH 03053
	(603) 413-6800
	(603) 413-6803

Map and Direction

Provider's Profile

Full Name	Stephanie Schroot Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	42 Nashua Road, Londonderry, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306985783
Provider Enumeration Date: 02/05/2007
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 8224052840
Enrollment ID: I20210427002942

Medical Identifiers

Medical identifiers for Stephanie Schroot Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306985783	NPI	-	NPPES
110085815A	Medicaid	MA
3126816	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	080033-23 (New Hampshire)	Secondary
363L00000X	Nurse Practitioner	229133 (Massachusetts)	Secondary
363LS0200X	Nurse Practitioner - School	229133 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	080033-23 (New Hampshire)	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. Stephanie Schroot Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of New Hampshire Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477894673 PECOS PAC ID: 8628206968 Enrollment ID: O20140114001041

Entity Name	Vantage Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366903551 PECOS PAC ID: 8224361191 Enrollment ID: O20190830001189

Entity Name	Convenientmd - Ffs Uc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851082291 PECOS PAC ID: 5193186492 Enrollment ID: O20230803000905

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. Stephanie Schroot 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
Stephanie Schroot Sullivan, FNP-BC 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105 Ph: (603) 410-6700	Stephanie Schroot Sullivan, FNP-BC 42 Nashua Road, Londonderry, NH 03053 Ph: (603) 413-6800

Reviews and Comments

Nurse Practitioner Nurses in Londonderry, NH

Mrs. Brianna Boulanger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 184 Mammoth Rd, Unit 4, Londonderry, NH 03053 Phone: 603-473-4451 Fax: 603-584-4822
Mrs. Stephanie Selleck, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Michels Way Ste 102, Londonderry, NH 03053 Phone: 603-537-1300
Joyce Anne Aliseo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Michels Way Ste 102, Londonderry, NH 03053 Phone: 603-537-1300 Fax: 603-845-1830
Jaclyn N Truland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Buttrick Rd, Londonderry, NH 03053 Phone: 603-552-1400
Amy M Cullen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Nashua Rd Ste 301, Londonderry, NH 03053 Phone: 603-425-6494 Fax: 603-425-2048
Mrs. Debra J Corrigan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Buttrick Road, Elliot Internal Medicine At Londonderry, Londonderry, NH 03053 Phone: 603-434-1919 Fax: 603-434-7346
Mrs. Joan Ellen Romboli, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Commons Dr, Ste 24, Londonderry, NH 03053 Phone: 603-425-6494 Fax: 603-425-2048

Stephanie Schroot Sullivan, FNP-BC - Medicare Nurse Practitioner in Londonderry, NH