Ms Chantal Sullivan, PMHNP-BC - Medicare Nurse Practitioner in Gulfport, MS

Ms Chantal Sullivan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gulfport, Mississippi. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 8990 Lorraine Rd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 331-3310.

Ms Chantal Sullivan is licensed to practice in Mississippi (license number 903677) 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 1740811280.

Contact Information

Ms Chantal Sullivan, PMHNP-BC
8990 Lorraine Rd,
Gulfport, MS 39503-4176
(228) 331-3310
Not Available

Map and Direction




Provider's Profile

Full NameMs Chantal Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location8990 Lorraine Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Chantal Sullivan graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1740811280
  • Provider Enumeration Date: 02/03/2020
  • Last Update Date: 03/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769804129
  • Enrollment ID: I20200616002525

Medical Identifiers

Medical identifiers for Ms Chantal Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740811280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 903677 (Mississippi)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. Ms Chantal Sullivan allows following entities to bill medicare on her behalf.
Entity NameChantal Sullivan Aprn-bc Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437784550
PECOS PAC ID: 9133541592
Enrollment ID: O20200612001518

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. Ms Chantal 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
Ms Chantal Sullivan, PMHNP-BC
928 Courthouse Rd Unit 6,
Gulfport, MS 39507-4110

Ph: (720) 271-0941
Ms Chantal Sullivan, PMHNP-BC
8990 Lorraine Rd,
Gulfport, MS 39503-4176

Ph: (228) 331-3310

Reviews and Comments


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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).

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