Jenny Marie N Sullivan, MD in Santa Rosa, CA

Jenny Marie N Sullivan, MD is a medicare enrolled "Family Medicine" physician in Santa Rosa, California. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Shasta Regional Medical Group Inc and her current practice location is 500 Doyle Park Dr, Suite G04, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 303-8360.

Jenny Marie N Sullivan is licensed to practice in California (license number A84375) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1407844285.

Contact Information

	Jenny Marie N Sullivan, MD
	500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558
	(707) 303-8360
	(707) 303-8361

Map and Direction

Physician's Profile

Full Name	Jenny Marie N Sullivan
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	500 Doyle Park Dr, Santa Rosa, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jenny Marie N Sullivan graduated from medical school in 2000

NPI Data:

NPI Number: 1407844285
Provider Enumeration Date: 10/06/2005
Last Update Date: 07/16/2013

Medicare PECOS Information:

PECOS PAC ID: 2567423965
Enrollment ID: I20041019001452

Medical Identifiers

Medical identifiers for Jenny Marie N Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407844285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A84375 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shasta Regional Medical Center	Redding, CA	Hospital
Oroville Hospital	Oroville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shasta Regional Medical Group Inc	5991861353	34

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. Jenny Marie N Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Shasta Regional Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396990545 PECOS PAC ID: 5991861353 Enrollment ID: O20090310000251

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. Jenny Marie N 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
Jenny Marie N Sullivan, MD 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 Ph: (707) 303-8360	Jenny Marie N Sullivan, MD 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 Ph: (707) 303-8360

Reviews and Comments

Family Medicine Doctors in Santa Rosa, CA

Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361

Jenny Marie N Sullivan, MD - Medicare Family Practice in Santa Rosa, CA