Mrs Nicole Sullivan, PA in Brooklyn, NY - Medicare Physician Assistant

Mrs Nicole Sullivan, PA is a medicare enrolled "Physician Assistant" in Brooklyn, New York. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Shore Lij Urgent Care Pc and her current practice location is 699 92nd St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (212) 563-2497.

Mrs Nicole Sullivan is licensed to practice in New York (license number 009916) 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 1649367061.

Contact Information

	Mrs Nicole Sullivan, PA
	699 92nd St, Brooklyn, NY 11228-3619
	(212) 563-2497
	(212) 563-0605

Map and Direction

Provider's Profile

Full Name	Mrs Nicole Sullivan
Gender	Female
Speciality	Physician Assistant
Experience	20 Years
Location	699 92nd St, Brooklyn, New York
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 Nicole Sullivan graduated from nursing school in 2004

NPI Data:

NPI Number: 1649367061
Provider Enumeration Date: 10/06/2006
Last Update Date: 12/17/2015

Medicare PECOS Information:

PECOS PAC ID: 3577565076
Enrollment ID: I20070213000512

Medical Identifiers

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

Identifier	Type	State	Issuer
1649367061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	009916 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore Lij Urgent Care Pc	6002131778	312

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 Nicole 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 Nicole Sullivan, PA 158 W 27th St, 11th Floor South, New York, NY 10001-6216 Ph: (212) 563-2497	Mrs Nicole Sullivan, PA 699 92nd St, Brooklyn, NY 11228-3619 Ph: (212) 563-2497

Reviews and Comments

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Mrs Nicole Sullivan, PA - Medicare Physician Assistant in Brooklyn, NY