Jessica Lynn Sullivan, - Medicare Clinical Social Worker in Madisonville, KY

Jessica Lynn Sullivan, is a medicare enrolled "Social Worker - Clinical" provider in Madisonville, Kentucky. Her current practice location is 200 Clinic Dr, Madisonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 821-8874.

Jessica Lynn Sullivan is licensed to practice in Kentucky (license number 254179) 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 1174024020.

Contact Information

Jessica Lynn Sullivan,
200 Clinic Dr,
Madisonville, KY 42431-1661
(270) 821-8874
(270) 821-8883

Map and Direction




Healthcare Provider's Profile

Full NameJessica Lynn Sullivan
GenderFemale
SpecialitySocial Worker - Clinical
Location200 Clinic Dr, Madisonville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174024020
  • Provider Enumeration Date: 02/26/2018
  • Last Update Date: 08/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2769869692
  • Enrollment ID: I20230224001237

Medical Identifiers

Medical identifiers for Jessica Lynn Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174024020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 254179 (Kentucky)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. Jessica Lynn Sullivan allows following entities to bill medicare on her behalf.
Entity Name360care Services Of Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669113023
PECOS PAC ID: 9931587888
Enrollment ID: O20220604000305

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. Jessica Lynn 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
Jessica Lynn Sullivan,
Po Box 614,
Hopkinsville, KY 42241-0614

Ph: (270) 886-2205
Jessica Lynn Sullivan,
200 Clinic Dr,
Madisonville, KY 42431-1661

Ph: (270) 821-8874

Reviews and Comments


Social Worker in Madisonville, KY

Mrs. Caitlin Beth Crockett Tapp, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1079 Thornberry Dr Ste 203, Madisonville, KY 42431
Phone: 270-874-2560    
Judy B. Blue,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-886-2205    Fax: 270-886-0392
Elizabeth Bourne Webb, LCSW, LMFT
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 4915 Hanson Road, Madisonville, KY 42431
Phone: 270-825-8746    Fax: 270-825-8746
Jami Coyle, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 200 Clinic Dr Fl 1, Madisonville, KY 42431
Phone: 270-825-6680    Fax: 270-825-7266
Stephanie Brinkerhoff, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 9 E Arch St, Madisonville, KY 42431
Phone: 513-834-7063    
Melody Scott,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-821-8874    Fax: 270-821-8883

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.