Ms Maureen Anne Sullivan, LPN is a
Licensed Practical Nurse based in Somers, New York. Ms Maureen Anne Sullivan is licensed to practice in New York (license number 2732121) and her current practice location is
105 Krystal Dr, Somers, New York. She can be reached at her office (for appointments etc.) via phone at
(914) 589-9897.
NPI number for Ms Maureen Anne Sullivan is 1679753610 and her current mailing address is 29 Livonia Dr, Patterson, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679753610.
Provider's Profile
| Full Name | Ms Maureen Anne Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 105 Krystal Dr, Somers, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679753610
- Provider Enumeration Date: 11/07/2007
- Last Update Date: 11/07/2007
Medical Identifiers
Medical identifiers for Ms Maureen Anne Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679753610 | NPI | - | NPPES |
| 02587511 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 2732121 (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 Maureen Anne Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Maureen Anne Sullivan, LPN
29 Livonia Dr,
Patterson, NY 12563-8911
Ph: (845) 279-7344 | Ms Maureen Anne Sullivan, LPN
105 Krystal Dr,
Somers, NY 10589-3038
Ph: (914) 589-9897 |
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