Monica A Sullivan, PA-C in Omaha, NE - Medicare Physician Assistant

Monica A Sullivan, PA-C is a medicare enrolled "Physician Assistant" in Omaha, Nebraska. Her current practice location is 14421 Dupont Ct, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 884-6400.

Monica A Sullivan is licensed to practice in Nebraska (license number 1639) 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 1073885323.

Contact Information

	Monica A Sullivan, PA-C
	14421 Dupont Ct, Omaha, NE 68144-2100
	(402) 884-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Monica A Sullivan
Gender	Female
Speciality	Physician Assistant
Location	14421 Dupont Ct, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073885323
Provider Enumeration Date: 02/02/2012
Last Update Date: 09/21/2020

Medicare PECOS Information:

PECOS PAC ID: 5193985984
Enrollment ID: I20120402000700

Medical Identifiers

Medical identifiers for Monica A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073885323	NPI	-	NPPES
91177983213	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	1639 (Nebraska)	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. Monica A 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
Monica A Sullivan, PA-C 14421 Dupont Ct, Omaha, NE 68144-2100 Ph: (402) 884-6400	Monica A Sullivan, PA-C 14421 Dupont Ct, Omaha, NE 68144-2100 Ph: (402) 884-6400

Reviews and Comments

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Monica A Sullivan, PA-C - Medicare Physician Assistant in Omaha, NE