Windi Calvert Sullivan, FNP-C in Lafayette, LA

Windi Calvert Sullivan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Louisiana. Her current practice location is 1417 Moss St Ste A, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 291-2411.

Windi Calvert Sullivan is licensed to practice in Louisiana (license number 226179) 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 1780303305.

Contact Information

	Windi Calvert Sullivan, FNP-C
	1417 Moss St Ste A, Lafayette, LA 70501-3610
	(337) 291-2411
	(337) 291-2412

Map and Direction

Provider's Profile

Full Name	Windi Calvert Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1417 Moss St Ste A, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780303305
Provider Enumeration Date: 08/25/2022
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 3577933472
Enrollment ID: I20230111001234

Medical Identifiers

Medical identifiers for Windi Calvert Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780303305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	226179 (Louisiana)	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. Windi Calvert Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Moss Street Kid Med Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336268184 PECOS PAC ID: 1355694498 Enrollment ID: O20181019000595

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. Windi Calvert 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
Windi Calvert Sullivan, FNP-C 108 Kempton Dr, Lafayette, LA 70508-6547 Ph: (409) 457-3825	Windi Calvert Sullivan, FNP-C 1417 Moss St Ste A, Lafayette, LA 70501-3610 Ph: (337) 291-2411

Reviews and Comments

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Windi Calvert Sullivan, FNP-C - Medicare Nurse Practitioner in Lafayette, LA