Shelby Lynne Sullivan, CRNA in Plymouth, MA - Medicare Nurse Anesthetist, Certified Registered

Shelby Lynne Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, Massachusetts. Her current practice location is 275 Sandwich St, Plymouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 746-2000.

Shelby Lynne Sullivan is licensed to practice in Massachusetts (license number 118920) 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 1407354087.

Contact Information

	Shelby Lynne Sullivan, CRNA
	275 Sandwich St, Plymouth, MA 02360-2183
	(508) 746-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby Lynne Sullivan
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	275 Sandwich St, Plymouth, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407354087
Provider Enumeration Date: 01/29/2018
Last Update Date: 12/24/2018

Medicare PECOS Information:

PECOS PAC ID: 1951659036
Enrollment ID: I20180806003034

Medical Identifiers

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

Identifier	Type	State	Issuer
1407354087	NPI	-	NPPES
118920	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	118920 (Massachusetts)	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 Lynne Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015

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 Lynne 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 Lynne Sullivan, CRNA 275 Sandwich St, Plymouth, MA 02360-2183 Ph: (508) 746-2000	Shelby Lynne Sullivan, CRNA 275 Sandwich St, Plymouth, MA 02360-2183 Ph: (508) 746-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Plymouth, MA

Patrick Linehan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-830-2113
Elizabeth Wittenstein, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 40 Industrial Park Rd, Plymouth, MA 02360 Phone: 508-746-8600
Robert Gauvin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40 Industrial Park Rd, Plymouth, MA 02360 Phone: 508-746-8600
Rachel M Hammerschmidt, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 176-673-1106 Fax: 617-754-8791
Victoria Gohh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-746-2000
Mr. John C. Cona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-746-2000
Diane R Bauer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-830-2113 Fax: 781-407-0998

Shelby Lynne Sullivan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Plymouth, MA