Jessica Sullivan, CCC-SLP in Decatur, IL - Medicare Speech-Language Pathologist Provider

Jessica Sullivan, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Decatur, Illinois. Her current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 876-2680.

Jessica Sullivan is licensed to practice in Illinois (license number 146.015000) 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 1710120308.

Contact Information

	Jessica Sullivan, CCC-SLP
	2300 N Edward St, Decatur, IL 62526-4192
	(217) 876-2680
	(217) 876-2630

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Sullivan
Gender	Female
Speciality	Speech-language Pathologist
Location	2300 N Edward St, Decatur, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710120308
Provider Enumeration Date: 04/12/2009
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0446302400
Enrollment ID: I20090722000365

Medical Identifiers

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

Identifier	Type	State	Issuer
1710120308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2949 (Kansas)	Secondary
235Z00000X	Speech-language Pathologist	2008023621 (Missouri)	Secondary
235Z00000X	Speech-language Pathologist	146.015000 (Illinois)	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. Jessica Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Kansas University Physicians Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328

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. Jessica 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
Jessica Sullivan, CCC-SLP 2300 N Edward St, Decatur, IL 62526-4192 Ph: (217) 876-2680	Jessica Sullivan, CCC-SLP 2300 N Edward St, Decatur, IL 62526-4192 Ph: (217) 876-2680

Reviews and Comments

Speech-Language Pathologist in Decatur, IL

Mrs. Colleen Marie Beavers, M.A., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2715 N 27th St, Decatur, IL 62526 Phone: 217-429-1052 Fax: 217-423-7605
Ms. Judith Marie Ankrom, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3401 E Prairie, Decatur, IL 62521 Phone: 217-433-8491 Fax: 217-424-3136
Jennifer Raleigh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2715 N 27th St, Decatur, IL 62526 Phone: 217-429-1052
Mrs. Barbara Jean Ferracane, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2912 N University Ave, Decatur, IL 62526 Phone: 217-362-3300
Mrs. Kristen Lee Grohne, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2415 Fax: 217-464-1633
Nora Kilby, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1077 W Grand Ave, Decatur, IL 62522 Phone: 217-362-3500
Mrs. Sabrina Barnett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2160 W Center St, Decatur, IL 62526 Phone: 217-362-3550

Jessica Sullivan, CCC-SLP - Medicare Speech-Language Pathologist in Decatur, IL