Amanda Rose Sullivan, PMHNP-BC in Concord, MA

Amanda Rose Sullivan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Concord, Massachusetts. Her current practice location is 86 Baker Ave Extension, Suite 100, Concord, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 369-1113.

Amanda Rose Sullivan is licensed to practice in Massachusetts (license number RN2262691) 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 1063968709.

Contact Information

	Amanda Rose Sullivan, PMHNP-BC
	86 Baker Ave Extension, Suite 100, Concord, MA 01742
	(978) 369-1113
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Rose Sullivan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	86 Baker Ave Extension, Concord, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063968709
Provider Enumeration Date: 09/01/2016
Last Update Date: 09/01/2016

Medicare PECOS Information:

PECOS PAC ID: 6305134941
Enrollment ID: I20161013001499

Medical Identifiers

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

Identifier	Type	State	Issuer
1063968709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2262691 (Massachusetts)	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. Amanda Rose Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Greater Lowell Psychiatric Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760463004 PECOS PAC ID: 9335044189 Enrollment ID: O20031204000509

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. Amanda Rose 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
Amanda Rose Sullivan, PMHNP-BC 86 Baker Ave Extension, Suite 100, Concord, MA 01742 Ph: () -	Amanda Rose Sullivan, PMHNP-BC 86 Baker Ave Extension, Suite 100, Concord, MA 01742 Ph: (978) 369-1113

Reviews and Comments

Nurse Practitioner Nurses in Concord, MA

Kimberly A Capello, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 Old Road To 9 Acre Cor, Ste 1, Concord, MA 01742 Phone: 978-371-0302
Ms. Elizabeth Renee Powers, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 965 Elm Street, Concord, MA 01742 Phone: 978-405-6100 Fax: 978-287-5169
Rosemarie Dolan-lee, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Ornac, Emerson Hospital North 5, Concord, MA 01742 Phone: 978-369-1400 Fax: 978-287-3391
Dr. Joyce Ann Pulcini, PHD, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 Bedford Ct, Concord, MA 01742 Phone: 781-799-4144
Vannary Khim, MS, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Baker Ave, Concord, MA 01742 Phone: 978-287-9300
Lori Jenean Deal, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-287-3727

Amanda Rose Sullivan, PMHNP-BC - Medicare Nurse Practitioner in Concord, MA