Ms Linda S Sullivan, NP in Fairfax, VA - Medicare Nurse Practitioner

Ms Linda S Sullivan, NP is a medicare enrolled "Nurse Practitioner" in Fairfax, Virginia. Her current practice location is 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 934-5700.

Ms Linda S Sullivan is licensed to practice in Virginia (license number 0024080712) 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 1174593818.

Contact Information

	Ms Linda S Sullivan, NP
	12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033-3952
	(703) 934-5700
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Linda S Sullivan
Gender	Female
Speciality	Nurse Practitioner
Location	12255 Fair Lakes Pkwy, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174593818
Provider Enumeration Date: 01/25/2006
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4385714344
Enrollment ID: I20080603000071

Medical Identifiers

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

Identifier	Type	State	Issuer
1174593818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024080712 (Virginia)	Secondary
363L00000X	Nurse Practitioner	0024080712 (Virginia)	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 Linda S Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744

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 Linda S 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 Linda S Sullivan, NP 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424	Ms Linda S Sullivan, NP 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033-3952 Ph: (703) 934-5700

Reviews and Comments

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Ms Linda S Sullivan, NP - Medicare Nurse Practitioner in Fairfax, VA