Tonya Jordan Sullivan, NURSE PRACTITIONER in Mooresville, NC

Tonya Jordan Sullivan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Mooresville, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Healthcare Pa and her current practice location is 125 Days Inn Dr, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 660-9111.

Tonya Jordan Sullivan is licensed to practice in North Carolina (license number 5013206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770107757.

Contact Information

	Tonya Jordan Sullivan, NURSE PRACTITIONER
	125 Days Inn Dr, Mooresville, NC 28117-6323
	(704) 660-9111
	Not Available

Map and Direction

Provider's Profile

Full Name	Tonya Jordan Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	125 Days Inn Dr, Mooresville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tonya Jordan Sullivan attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2020

NPI Data:

NPI Number: 1770107757
Provider Enumeration Date: 06/04/2020
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3274957915
Enrollment ID: I20200728001065

Medical Identifiers

Medical identifiers for Tonya Jordan Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770107757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5013206 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Healthcare Pa	9638070683	219

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. Tonya Jordan Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Healthcare Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912999897 PECOS PAC ID: 9638070683 Enrollment ID: O20040114000339

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. Tonya Jordan 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
Tonya Jordan Sullivan, NURSE PRACTITIONER Po Box 1845, Statesville, NC 28687-1845 Ph: (704) 873-4277	Tonya Jordan Sullivan, NURSE PRACTITIONER 125 Days Inn Dr, Mooresville, NC 28117-6323 Ph: (704) 660-9111

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, NC

Erin Abbey Gray, FPN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-696-2929
Marykay Holt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101
Mrs. Deborah O'neil Speaks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 River Hwy, Mooresville, NC 28117 Phone: 704-663-3438
Kristin Lea Rice, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-696-2085
Amy Andersen Bush, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075
Dawn Marie Cahn, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 137 Shavender Dr, Mooresville, NC 28117 Phone: 203-856-0745
Elizabeth Rudisill Hayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Argus Ln Ste G, Mooresville, NC 28117 Phone: 704-660-4362 Fax: 704-660-0442

Tonya Jordan Sullivan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Mooresville, NC