Ms Gail A Sullivan, LMLP LCP is a medicare enrolled "Psychologist" provider in Gt Bend, Kansas. Her current practice location is
5815 Broadway, Gt Bend, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 792-2544.
Ms Gail A Sullivan is licensed to practice in Kansas (license number 776) 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 1538287560.
Healthcare Provider's Profile
| Full Name | Ms Gail A Sullivan |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 5815 Broadway, Gt Bend, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538287560
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618326091
- Enrollment ID: I20231211001661
Medical Identifiers
Medical identifiers for Ms Gail A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538287560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 776 (Kansas) | Primary |
| 103T00000X | Psychologist | 331 (Kansas) | 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. Ms Gail A Sullivan allows following entities to bill medicare on her behalf.
| Entity Name | Center For Counseling And Consultation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104862549
PECOS PAC ID: 2961458518
Enrollment ID: O20050325000690 |
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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. Ms Gail A 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 |
|---|
Ms Gail A Sullivan, LMLP LCP
5815 Broadway,
Great Bend, KS 67530
Ph: (620) 792-2544 | Ms Gail A Sullivan, LMLP LCP
5815 Broadway,
Gt Bend, KS 67530
Ph: (620) 792-2544 |
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