Shelby Jo Sullivan, CRNA in Lincoln, NE - Medicare Nurse Anesthetist, Certified Registered

Shelby Jo Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lincoln, Nebraska. Her current practice location is 2900 S 70th St Ste 450, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 730-0230.

Shelby Jo Sullivan is licensed to practice in Nebraska (license number 101759) 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 1306578638.

Contact Information

	Shelby Jo Sullivan, CRNA
	2900 S 70th St Ste 450, Lincoln, NE 68506-3796
	(402) 730-0230
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby Jo Sullivan
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2900 S 70th St Ste 450, Lincoln, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306578638
Provider Enumeration Date: 06/27/2022
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7517324965
Enrollment ID: I20230531001456

Medical Identifiers

Medical identifiers for Shelby Jo Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306578638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	81623 (Nebraska)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	101759 (Nebraska)	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. Shelby Jo Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Associated Anesthesiologists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972674604 PECOS PAC ID: 4385630391 Enrollment ID: O20040423001226

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. Shelby Jo 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
Shelby Jo Sullivan, CRNA 2900 S 70th St Ste 450, Lincoln, NE 68506-3796 Ph: () -	Shelby Jo Sullivan, CRNA 2900 S 70th St Ste 450, Lincoln, NE 68506-3796 Ph: (402) 730-0230

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lincoln, NE

Emily Noel Stutzman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 555 S 70th St, Lincoln, NE 68510 Phone: 402-219-8000
Matthew C. Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6911 Van Dorn St Ste 2, Lincoln, NE 68506 Phone: 402-489-4186 Fax: 402-489-5279
Eric Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 S 70th Street, Suite # 450, Lincoln, NE 68506 Phone: 402-489-4186 Fax: 402-489-5279
Hillary Marie Bonin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 S 70th St Ste 305, Lincoln, NE 68510 Phone: 402-434-5600 Fax: 402-434-5601
Clark Jackson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 S 60th St Apt 21, Lincoln, NE 68506 Phone: 402-613-2633
Priscilla Boyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 S 70th St Ste 305, Lincoln, NE 68510 Phone: 402-434-5600 Fax: 402-434-5601
Carl C Blackwood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5701 Lillibridge St Apt 10, Lincoln, NE 68506 Phone: 607-349-9774

Shelby Jo Sullivan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lincoln, NE