Mrs Marin M Sullivan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Woodland Hills, CA

Mrs Marin M Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Woodland Hills, California. Her current practice location is 5601 De Soto Ave, Woodland Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 719-2000.

Mrs Marin M Sullivan is licensed to practice in California (license number NA3126) 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 1114043379.

Contact Information

Mrs Marin M Sullivan, CRNA
5601 De Soto Ave,
Woodland Hills, CA 91367-6701
(818) 719-2000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Marin M Sullivan
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location5601 De Soto Ave, Woodland Hills, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114043379
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 12/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971547944
  • Enrollment ID: I20111121000221

Medical Identifiers

Medical identifiers for Mrs Marin M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114043379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA3126 (California)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. Mrs Marin M Sullivan allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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. Mrs Marin M 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 AddressPractice Location Address
Mrs Marin M Sullivan, CRNA
5601 De Soto Ave,
Woodland Hills, CA 91367-6701

Ph: (818) 719-2000
Mrs Marin M Sullivan, CRNA
5601 De Soto Ave,
Woodland Hills, CA 91367-6701

Ph: (818) 719-2000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Woodland Hills, CA

Donna M Kary, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Megan M Miller, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Elly K Yoo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Mrs. Laura Susan Van Rossum, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5601 De Soto Ave, Dept Of Anesthesia, Woodland Hills, CA 91367
Phone: 818-719-2695    
Janice D Weitz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Gloria C Angeles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5826 Kelvin Ave, Woodland Hills, CA 91367
Phone: 818-932-0450    Fax: 818-518-3537

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.