John Gerard Sullivan, LICSW in Saint Paul, MN - Medicare Social Worker Provider

John Gerard Sullivan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Paul, Minnesota. His current practice location is 160 Kellogg Blvd E, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 266-4302.

John Gerard Sullivan is licensed to practice in Minnesota (license number 05806) 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 1154478741.

Contact Information

	John Gerard Sullivan, LICSW
	160 Kellogg Blvd E, Saint Paul, MN 55101-1420
	(651) 266-4302
	(651) 266-4443

Map and Direction

Healthcare Provider's Profile

Full Name	John Gerard Sullivan
Gender	Male
Speciality	Social Worker - Clinical
Location	160 Kellogg Blvd E, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154478741
Provider Enumeration Date: 01/04/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 1658677729
Enrollment ID: I20160316000393

Medical Identifiers

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

Identifier	Type	State	Issuer
1154478741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	05806 (Minnesota)	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. John Gerard Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Behavioral Healthcare Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305

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. John Gerard 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
John Gerard Sullivan, LICSW 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 Ph: (651) 266-4302	John Gerard Sullivan, LICSW 160 Kellogg Blvd E, Saint Paul, MN 55101-1420 Ph: (651) 266-4302

Reviews and Comments

Social Worker in Saint Paul, MN

Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294

John Gerard Sullivan, LICSW - Medicare Clinical Social Worker in Saint Paul, MN