Mrs Tracy Sullivan, NP in Islandia, NY - Medicare Nurse Practitioner

Mrs Tracy Sullivan, NP is a medicare enrolled "Nurse Practitioner - Perinatal" in Islandia, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore Lij Ob Gyn Pc and her current practice location is 3001 Expressway Drive North, Suite #116, Islandia, New York. You can reach out to her office (for appointments etc.) via phone at (631) 292-6747.

Mrs Tracy Sullivan is licensed to practice in New York (license number F390010) 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 1902989957.

Contact Information

	Mrs Tracy Sullivan, NP
	3001 Expressway Drive North, Suite #116, Islandia, NY 11749
	(631) 292-6747
	(631) 292-6767

Map and Direction

Provider's Profile

Full Name	Mrs Tracy Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	36 Years
Location	3001 Expressway Drive North, Islandia, 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 Tracy Sullivan attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1988

NPI Data:

NPI Number: 1902989957
Provider Enumeration Date: 10/23/2006
Last Update Date: 01/23/2013

Medicare PECOS Information:

PECOS PAC ID: 0042488702
Enrollment ID: I20170728001111

Medical Identifiers

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

Identifier	Type	State	Issuer
1902989957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP1700X	Nurse Practitioner - Perinatal	F390010 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
North Shore University Hospital	Manhasset, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore Lij Ob Gyn Pc	7214172980	11

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 Tracy Sullivan allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	North Shore Lij Ob Gyn Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033453329 PECOS PAC ID: 7214172980 Enrollment ID: O20130329000011

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 Tracy 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 Tracy Sullivan, NP 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 Ph: (631) 292-6747	Mrs Tracy Sullivan, NP 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 Ph: (631) 292-6747

Reviews and Comments

Nurse Practitioner Nurses in Islandia, NY

Kerry O'brien- Espinoza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Islandia, NY 11749 Phone: 631-292-6747
Maria Ann Clementi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Expressway Dr N Ste 100, Islandia, NY 11749 Phone: 631-434-1770
Sharon Shyrier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Motor Pkwy, Islandia, NY 11749 Phone: 631-855-1200 Fax: 631-630-6297
Ms. Deborah Duffy Adkins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 Phone: 631-444-3497 Fax: 631-444-1530
Anna Carroll, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Suite 104, Islandia, NY 11749 Phone: 631-435-0110 Fax: 631-435-4582
Mrs. Barbara E. Principio, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 Phone: 631-292-6747 Fax: 631-292-6767
Mrs. Kristen Anne Carman, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1797 Veterans Memorial Hwy Ste 2, Islandia, NY 11749 Phone: 631-804-9403

Mrs Tracy Sullivan, NP - Medicare Nurse Practitioner in Islandia, NY