Tyler Matthew Sullivan, RN in East Boston, MA

Tyler Matthew Sullivan, RN is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in East Boston, Massachusetts. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Newton-wellesley Psychiatry and his current practice location is 14 Porter St, East Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 569-3189.

Tyler Matthew Sullivan is licensed to practice in Massachusetts (license number RN2295420) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750922449.

Contact Information

	Tyler Matthew Sullivan, RN
	14 Porter St, East Boston, MA 02128
	(617) 569-3189
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler Matthew Sullivan
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	14 Porter St, East Boston, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler Matthew Sullivan graduated from nursing school in 2020

NPI Data:

NPI Number: 1750922449
Provider Enumeration Date: 10/03/2019
Last Update Date: 10/03/2019

Medicare PECOS Information:

PECOS PAC ID: 0345651931
Enrollment ID: I20201203001804

Medical Identifiers

Medical identifiers for Tyler Matthew Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750922449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	RN2295420 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Newton-wellesley Psychiatry	1759282304	21

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. Tyler Matthew Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Newton-wellesley Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427029297 PECOS PAC ID: 1759282304 Enrollment ID: O20040116000203

Entity Name	North Suffolk Mental Health Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740209881 PECOS PAC ID: 9234037516 Enrollment ID: O20040508000127

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. Tyler Matthew 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
Tyler Matthew Sullivan, RN 178 Cedar St, Wellesley, MA 02481-5513 Ph: (978) 912-1967	Tyler Matthew Sullivan, RN 14 Porter St, East Boston, MA 02128 Ph: (617) 569-3189

Reviews and Comments

Registered Nurse Nurses in East Boston, MA

Kiley Ann Griffin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20 Leverett Ave, Apt 5b, East Boston, MA 02128 Phone: 617-569-2523
Soo H Ko, AGNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5899
Claire Margaret Mathon, CNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756
Michael Hitchner, Registered Nurse Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800
Paulette Picardy, RN, MSN, CPNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1150 Saratoga St, East Boston, MA 02128 Phone: 617-561-1371
Ms. Cynthia L Puls, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-569-3189 Fax: 617-569-7890
Nairobi Oller-laureano, CNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-568-6333

Tyler Matthew Sullivan, RN - Medicare Nurse Practitioner in East Boston, MA