Ms Jerry Sullivan, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Woodland, Mississippi. Her current practice location is
120 Market Street, Woodland, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 456-0111.
Ms Jerry Sullivan is licensed to practice in Mississippi (license number R739537) 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 1457409807.
Provider's Profile
| Full Name | Ms Jerry Sullivan |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 120 Market Street, Woodland, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Jerry Sullivan attended and graduated from in
NPI Data:
- NPI Number: 1457409807
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 02/17/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Jerry Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457409807 | NPI | - | NPPES |
| 0114346 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R739537 (Mississippi) | 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 Jerry 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 Jerry Sullivan, CFNP
P. O. Box 186, 120 Market Street,
Woodland, MS 39776
Ph: (662) 456-0111 | Ms Jerry Sullivan, CFNP
120 Market Street,
Woodland, MS 39776
Ph: (662) 456-0111 |
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