Olivia Joyce Matheson Sullivan, NURSE PRACTITIONER in Decatur, GA

Olivia Joyce Matheson Sullivan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Georgia. Her current practice location is 1700 Clairmont Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 929-5345.

Olivia Joyce Matheson Sullivan is licensed to practice in Georgia (license number RN232689) 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 1063032142.

Contact Information

	Olivia Joyce Matheson Sullivan, NURSE PRACTITIONER
	1700 Clairmont Rd, Decatur, GA 30033-4032
	(404) 929-5345
	Not Available

Map and Direction

Provider's Profile

Full Name	Olivia Joyce Matheson Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1700 Clairmont Rd, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063032142
Provider Enumeration Date: 04/20/2020
Last Update Date: 04/20/2020

Medicare PECOS Information:

PECOS PAC ID: 0244612927
Enrollment ID: I20220727001918

Medical Identifiers

Medical identifiers for Olivia Joyce Matheson Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063032142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN232689 (Georgia)	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. Olivia Joyce Matheson Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Dermatology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316965213 PECOS PAC ID: 0143210385 Enrollment ID: O20040518000580

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. Olivia Joyce Matheson 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
Olivia Joyce Matheson Sullivan, NURSE PRACTITIONER 1773 Mackinaw Pl Se, Smyrna, GA 30080-4534 Ph: (561) 315-6335	Olivia Joyce Matheson Sullivan, NURSE PRACTITIONER 1700 Clairmont Rd, Decatur, GA 30033-4032 Ph: (404) 929-5345

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Olivia Joyce Matheson Sullivan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Decatur, GA