Dr Glinda Mae Sullivan, PSYD in Chesterfield, MO - Medicare Psychologist Provider

Dr Glinda Mae Sullivan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chesterfield, Missouri. Her current practice location is 106 4 Seasons Ctr, Suite 106c, Chesterfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 528-7569.

Dr Glinda Mae Sullivan is licensed to practice in Missouri (license number 2004024741) 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 1679793897.

Contact Information

	Dr Glinda Mae Sullivan, PSYD
	106 4 Seasons Ctr, Suite 106c, Chesterfield, MO 63017-3173
	(573) 528-7569
	(314) 439-5036

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glinda Mae Sullivan
Gender	Female
Speciality	Psychologist - Clinical
Location	106 4 Seasons Ctr, Chesterfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679793897
Provider Enumeration Date: 04/27/2007
Last Update Date: 07/23/2012

Medicare PECOS Information:

PECOS PAC ID: 0648362517
Enrollment ID: I20070823000055

Medical Identifiers

Medical identifiers for Dr Glinda Mae Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679793897	NPI	-	NPPES
499462307	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2004024741 (Missouri)	Primary
103TC0700X	Psychologist - Clinical	071.007644 (Illinois)	Secondary

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. Dr Glinda Mae Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Susic Psychological Consulting, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871769406 PECOS PAC ID: 7719952605 Enrollment ID: O20080519000235

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. Dr Glinda Mae 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
Dr Glinda Mae Sullivan, PSYD 106 4 Seasons Ctr, Suite 106c, Chesterfield, MO 63017-3173 Ph: (573) 528-7569	Dr Glinda Mae Sullivan, PSYD 106 4 Seasons Ctr, Suite 106c, Chesterfield, MO 63017-3173 Ph: (573) 528-7569

Reviews and Comments

Psychologist in Chesterfield, MO

Dr. Laura M Huff, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 16216 Baxter Rd, Suite 399, Chesterfield, MO 63017 Phone: 636-532-9188 Fax: 636-532-9951
Catherine Judkins, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14500 S Outer 40 Rd Ste 202, Chesterfield, MO 63017 Phone: 314-579-5040 Fax: 314-579-5017
Warren Albert Kass, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr, #308, Chesterfield, MO 63017 Phone: 314-576-6493 Fax: 314-576-7319
Eliza Lee Gordon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15480 Elk Ridge Ln, Chesterfield, MO 63017 Phone: 801-683-9068
Dr. David W Bailey, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14733 N Outer 40, Chesterfield, MO 63017 Phone: 314-954-5779
Dr. Richard Stiens, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17263 Wild Horse Creek Rd, Suite 203, Chesterfield, MO 63005 Phone: 636-536-0022 Fax: 636-536-1722
Madalyn R Schneider, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16216 Baxter Rd Ste 205, Chesterfield, MO 63017 Phone: 636-532-9188 Fax: 314-289-9414

Dr Glinda Mae Sullivan, PSYD - Medicare Psychologist in Chesterfield, MO