Ms Denise Luise Sullivan, APRN in Bronx, NY - Medicare Nurse Practitioner

Ms Denise Luise Sullivan, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Bronx, New York. Her current practice location is 1400 Pelham Pkwy S, Jacobi Medical Center Building 1 Room 1226, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 918-6867.

Ms Denise Luise Sullivan is licensed to practice in New York (license number F304055) 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 1104996164.

Contact Information

	Ms Denise Luise Sullivan, APRN
	1400 Pelham Pkwy S, Jacobi Medical Center Building 1 Room 1226, Bronx, NY 10461-1138
	(718) 918-6867
	(718) 918-7902

Map and Direction

Provider's Profile

Full Name	Ms Denise Luise Sullivan
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1400 Pelham Pkwy S, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104996164
Provider Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5698132470
Enrollment ID: I20230609001751

Medical Identifiers

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

Identifier	Type	State	Issuer
1104996164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F304055 (New York)	Primary

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 Denise Luise 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 Denise Luise Sullivan, APRN 2217 Sultana Dr, Yorktown Heights, NY 10598-3704 Ph: () -	Ms Denise Luise Sullivan, APRN 1400 Pelham Pkwy S, Jacobi Medical Center Building 1 Room 1226, Bronx, NY 10461-1138 Ph: (718) 918-6867

Reviews and Comments

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Ms Denise Luise Sullivan, APRN - Medicare Nurse Practitioner in Bronx, NY