Susan Cullen, in Hartford, CT - Medicare Nurse Practitioner

Susan Cullen, is a medicare enrolled "Nurse Practitioner" in Hartford, Connecticut. Her current practice location is 200 Retreat Ave, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-7200.

Susan Cullen is licensed to practice in Connecticut (license number 007531) 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 1073802906.

Contact Information

	Susan Cullen,
	200 Retreat Ave, Hartford, CT 06109-4337
	(860) 545-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan Cullen
Gender	Female
Speciality	Nurse Practitioner
Location	200 Retreat Ave, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073802906
Provider Enumeration Date: 03/31/2011
Last Update Date: 05/24/2018

Medicare PECOS Information:

PECOS PAC ID: 1759548027
Enrollment ID: I20120130000546

Medical Identifiers

Medical identifiers for Susan Cullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073802906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	007531 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	007531 (Connecticut)	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. Susan Cullen allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

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. Susan Cullen 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
Susan Cullen, 101 Manning Dr, Unc Health Care, Chapel Hill, NC 27514 Ph: (919) 966-1550	Susan Cullen, 200 Retreat Ave, Hartford, CT 06109-4337 Ph: (860) 545-7200

Reviews and Comments

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Susan Cullen, - Medicare Nurse Practitioner in Hartford, CT