Mrs Kendra Lynn Sullivan, FNP-BC in Chatham, IL

Mrs Kendra Lynn Sullivan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chatham, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Physician Services and her current practice location is 101 E Plummer Blvd, Chatham, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 483-3487.

Mrs Kendra Lynn Sullivan is licensed to practice in Illinois (license number 209013990) 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 1780045526.

Contact Information

	Mrs Kendra Lynn Sullivan, FNP-BC
	101 E Plummer Blvd, Chatham, IL 62629-8047
	(217) 483-3487
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kendra Lynn Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	101 E Plummer Blvd, Chatham, Illinois
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:

Mrs Kendra Lynn Sullivan attended and graduated from Southern Illinois University School Of Medicine in 2015

NPI Data:

NPI Number: 1780045526
Provider Enumeration Date: 03/07/2016
Last Update Date: 03/09/2016

Medicare PECOS Information:

PECOS PAC ID: 1355649419
Enrollment ID: I20160406001513

Medical Identifiers

Medical identifiers for Mrs Kendra Lynn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780045526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209013990 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Physician Services	9032005681	165

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. Mrs Kendra Lynn Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Memorial Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454

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. Mrs Kendra Lynn 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
Mrs Kendra Lynn Sullivan, FNP-BC 101 E Plummer Blvd, Chatham, IL 62629-8047 Ph: (217) 483-3487	Mrs Kendra Lynn Sullivan, FNP-BC 101 E Plummer Blvd, Chatham, IL 62629-8047 Ph: (217) 483-3487

Reviews and Comments

Nurse Practitioner Nurses in Chatham, IL

Mirjam J Naughton, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-588-2600 Fax: 217-862-0202
Marissa Paige Mahan, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150
Kathleen A Sigle, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150
Alexis Brumfield, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487
Amy Angeli, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150
Nicole M Beard, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-588-2600 Fax: 217-862-0202
Katie Sloman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150

Mrs Kendra Lynn Sullivan, FNP-BC - Medicare Nurse Practitioner in Chatham, IL