Ms Catherine Ann Sullivan, NURSE PRACTITIONER in Jackson, CA

Ms Catherine Ann Sullivan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Jackson, California. Her current practice location is 12140 New York Ranch Rd, Jackson, California. You can reach out to her office (for appointments etc.) via phone at (209) 257-2400.

Ms Catherine Ann Sullivan is licensed to practice in California (license number 431982) 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 1821335688.

Contact Information

	Ms Catherine Ann Sullivan, NURSE PRACTITIONER
	12140 New York Ranch Rd, Jackson, CA 95642-9407
	(209) 257-2400
	(209) 257-2403

Map and Direction

Provider's Profile

Full Name	Ms Catherine Ann Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12140 New York Ranch Rd, Jackson, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821335688
Provider Enumeration Date: 01/12/2013
Last Update Date: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1052765302
Enrollment ID: I20230920004320

Medical Identifiers

Medical identifiers for Ms Catherine Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821335688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	431982 (California)	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. Ms Catherine Ann Sullivan allows following entities to bill medicare on her behalf.

Entity Name	M A C T Health Board Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20040305001143

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. Ms Catherine Ann 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
Ms Catherine Ann Sullivan, NURSE PRACTITIONER 14750 Marilyn Ln, Pioneer, CA 95666-9754 Ph: (209) 295-3443	Ms Catherine Ann Sullivan, NURSE PRACTITIONER 12140 New York Ranch Rd, Jackson, CA 95642-9407 Ph: (209) 257-2400

Reviews and Comments

Nurse Practitioner Nurses in Jackson, CA

Cassandra Lee King, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 Ca-88, Jackson, CA 95642 Phone: 209-223-7040 Fax: 209-223-7606
Denise Lack, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642 Phone: 209-257-1722 Fax: 209-257-1726
Ms. Lynne W Forrette, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 New York Ranch Rd, Suite C, Jackson, CA 95642 Phone: 209-223-2034
Gloria Lee Kent, RN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Boulevard, Suite 2800, Jackson, CA 95642 Phone: 209-257-0177 Fax: 209-257-0176
Marianne Elizabeth Lapointe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Court St Ste 7, Jackson, CA 95642 Phone: 209-223-2034 Fax: 209-223-2038
Linda Marie Colliflower, RNC,NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12140 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400
Jessica Anne Mccarthy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Court St Ste 7, Jackson, CA 95642 Phone: 209-223-2034 Fax: 209-223-2038

Ms Catherine Ann Sullivan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Jackson, CA