Ms Chantal Sullivan, PMHNP-BC in Gulfport, MS

Ms Chantal Sullivan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gulfport, Mississippi. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 8990 Lorraine Rd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 331-3310.

Ms Chantal Sullivan is licensed to practice in Mississippi (license number 903677) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1740811280.

Contact Information

	Ms Chantal Sullivan, PMHNP-BC
	8990 Lorraine Rd, Gulfport, MS 39503-4176
	(228) 331-3310
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Chantal Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	8990 Lorraine Rd, Gulfport, Mississippi
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Chantal Sullivan graduated from nursing school in 2019

NPI Data:

NPI Number: 1740811280
Provider Enumeration Date: 02/03/2020
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 2769804129
Enrollment ID: I20200616002525

Medical Identifiers

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

Identifier	Type	State	Issuer
1740811280	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	903677 (Mississippi)	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 Chantal Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Chantal Sullivan Aprn-bc Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437784550 PECOS PAC ID: 9133541592 Enrollment ID: O20200612001518

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 Chantal 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 Chantal Sullivan, PMHNP-BC 928 Courthouse Rd Unit 6, Gulfport, MS 39507-4110 Ph: (720) 271-0941	Ms Chantal Sullivan, PMHNP-BC 8990 Lorraine Rd, Gulfport, MS 39503-4176 Ph: (228) 331-3310

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

Ms Chantal Sullivan, PMHNP-BC - Medicare Nurse Practitioner in Gulfport, MS