Christopher Sullivan, APRN in Wallingford, CT

Christopher Sullivan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Wallingford, Connecticut. His current practice location is 850 N Main Street Ext, Building 1, A3, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 269-4353.

Christopher Sullivan is licensed to practice in Connecticut (license number 6981) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598297665.

Contact Information

	Christopher Sullivan, APRN
	850 N Main Street Ext, Building 1, A3, Wallingford, CT 06492-2400
	(203) 269-4353
	(203) 269-4606

Map and Direction

Provider's Profile

Full Name	Christopher Sullivan
Gender	Male
Speciality	Nurse Practitioner - Family
Location	850 N Main Street Ext, Wallingford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598297665
Provider Enumeration Date: 03/29/2017
Last Update Date: 03/29/2017

Medicare PECOS Information:

PECOS PAC ID: 9335400977
Enrollment ID: I20180223000120

Medical Identifiers

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

Identifier	Type	State	Issuer
1598297665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6981 (Connecticut)	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. Christopher Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Pei Sun Md.llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831412899 PECOS PAC ID: 0244356178 Enrollment ID: O20100928000877

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. Christopher 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
Christopher Sullivan, APRN 850 N Main Street Ext, Building 1, A3, Wallingford, CT 06492-2400 Ph: (203) 269-4353	Christopher Sullivan, APRN 850 N Main Street Ext, Building 1, A3, Wallingford, CT 06492-2400 Ph: (203) 269-4353

Reviews and Comments

Nurse Practitioner Nurses in Wallingford, CT

Stacie Ricketts-mccook, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 863 N Main Street Ext Ste 200, Wallingford, CT 06492 Phone: 203-265-3280
Carrie Elizabeth Grassi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Thorpe Ave Ste 104, Wallingford, CT 06492 Phone: 203-779-5799
Katey Elizabeth Green, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Gaylord Farm Rd, Wallingford, CT 06492 Phone: 203-284-2800
Deborah B Fahs, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 N Main Street Ext., Bldg 2 Suite C2, Wallingford, CT 06492 Phone: 203-269-9778 Fax: 203-949-1544
Joan Mary Landino, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Center St, Wallingford, CT 06492 Phone: 203-676-3606 Fax: 203-265-1037
Dr. Erin Elizabeth Sherman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 Cheshire Road, Wallingford, CT 06492 Phone: 203-931-2370
Donna L Mariano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 67 Masonic Ave, Suite 3100, Wallingford, CT 06492 Phone: 203-284-3144 Fax: 203-284-3150

Christopher Sullivan, APRN - Medicare Nurse Practitioner in Wallingford, CT