Wanda J Sullivan, RN in Ruston, LA - Medicare Nurse Practitioner

Wanda J Sullivan, RN is a medicare enrolled "Nurse Practitioner" in Ruston, Louisiana. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and her current practice location is 765 S Bonner St, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 202-5935.

Wanda J Sullivan is licensed to practice in Louisiana (license number RN073140) 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 1740360353.

Contact Information

	Wanda J Sullivan, RN
	765 S Bonner St, Ruston, LA 71270-5801
	(318) 202-5935
	(318) 202-5933

Map and Direction

Provider's Profile

Full Name	Wanda J Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	765 S Bonner St, Ruston, Louisiana
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:

Wanda J Sullivan graduated from nursing school in 2003

NPI Data:

NPI Number: 1740360353
Provider Enumeration Date: 10/17/2006
Last Update Date: 02/18/2016

Medicare PECOS Information:

PECOS PAC ID: 8022079433
Enrollment ID: I20041020000051

Medical Identifiers

Medical identifiers for Wanda J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740360353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN073140 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Lsu Health Monroe	Monroe, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice	4082902721	534

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. Wanda J Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

Entity Name	Cross Lake Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013497114 PECOS PAC ID: 5395096440 Enrollment ID: O20180928000987

Entity Name	University Health Shreveport, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875

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. Wanda J 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
Wanda J Sullivan, RN Po Box 1839, Ruston, LA 71273-1839 Ph: (318) 202-5935	Wanda J Sullivan, RN 765 S Bonner St, Ruston, LA 71270-5801 Ph: (318) 202-5935

Reviews and Comments

Nurse Practitioner Nurses in Ruston, LA

Miss Brandi Elizabeth Bordelon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 192 Bastille Ln Ste 200, Ruston, LA 71270 Phone: 318-232-1500
Kristina D Barber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Northpointe Ln Ste 102, Ruston, LA 71270 Phone: 318-255-3762 Fax: 318-255-2866
Alexis Oliver Frasier, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044
Mr. Robert Holland Roy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 730 Celebrity Drive, American Stat Care Center, Ruston, LA 71270 Phone: 318-255-2100 Fax: 318-255-2040
Kambri Phillips, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1495 Frazier Rd, Ruston, LA 71270 Phone: 318-202-8340
Jessica Stewart, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 Fax: 318-232-2978
Erin Lancaster, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 Fax: 318-251-6116

Wanda J Sullivan, RN - Medicare Nurse Practitioner in Ruston, LA