Ms Jill Marie Sullivan, MS, PA-C in Hartford, CT

Ms Jill Marie Sullivan, MS, PA-C is a medicare enrolled "Physician Assistant" in Hartford, Connecticut. Her current practice location is 282 Washington St, Cardiology - 2b, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-9400.

Ms Jill Marie Sullivan is licensed to practice in Connecticut (license number 2921) 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 1356528228.

Contact Information

	Ms Jill Marie Sullivan, MS, PA-C
	282 Washington St, Cardiology - 2b, Hartford, CT 06106-3322
	(860) 545-9400
	(860) 545-9410

Map and Direction

Provider's Profile

Full Name	Ms Jill Marie Sullivan
Gender	Female
Speciality	Physician Assistant
Location	282 Washington St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356528228
Provider Enumeration Date: 01/23/2008
Last Update Date: 04/15/2022

Medicare PECOS Information:

PECOS PAC ID: 1557590031
Enrollment ID: I20140203000543

Medical Identifiers

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

Identifier	Type	State	Issuer
1356528228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00131300 (New Jersey)	Secondary
363AS0400X	Physician Assistant - Surgical	MA-052098 (Pennsylvania)	Secondary
363A00000X	Physician Assistant	010073 (New York)	Secondary
363A00000X	Physician Assistant	2921 (Connecticut)	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 Jill Marie 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 Jill Marie Sullivan, MS, PA-C 282 Washington St, Cardiology - 2b, Hartford, CT 06106-3322 Ph: (860) 545-9400	Ms Jill Marie Sullivan, MS, PA-C 282 Washington St, Cardiology - 2b, Hartford, CT 06106-3322 Ph: (860) 545-9400

Reviews and Comments

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Ms Jill Marie Sullivan, MS, PA-C - Medicare Physician Assistant in Hartford, CT