Mrs Antoinette O Sullivan, LICSW in South Kingstown, RI

Mrs Antoinette O Sullivan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in South Kingstown, Rhode Island. Her current practice location is 65 Village Square Dr, South Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 789-5924.

Mrs Antoinette O Sullivan is licensed to practice in Rhode Island (license number ISW01516) 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 1366582819.

Contact Information

	Mrs Antoinette O Sullivan, LICSW
	65 Village Square Dr, South Kingstown, RI 02879-2292
	(401) 789-5924
	(401) 782-1770

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Antoinette O Sullivan
Gender	Female
Speciality	Social Worker - Clinical
Location	65 Village Square Dr, South Kingstown, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366582819
Provider Enumeration Date: 02/07/2007
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8921386814
Enrollment ID: I20161027001305

Medical Identifiers

Medical identifiers for Mrs Antoinette O Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366582819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW01516 (Rhode Island)	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 Antoinette O Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Coastal Medical Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413

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 Antoinette O 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
Mrs Antoinette O Sullivan, LICSW 10 Davol Sq, Suite 400, Providence, RI 02903-4754 Ph: (401) 421-4000	Mrs Antoinette O Sullivan, LICSW 65 Village Square Dr, South Kingstown, RI 02879-2292 Ph: (401) 789-5924

Reviews and Comments

Social Worker in South Kingstown, RI

Alexis Desjardins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0040 Fax: 401-941-7847
Deborah D'amico Bergner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 345 Kettle Pond Dr, South Kingstown, RI 02879 Phone: 401-954-5076
Deborah M Roberts, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0400
Nancy H. Embleton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0040
Ashley Daigneault, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0040
Aaron Pelchat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-6175 Fax: 401-633-6253

Mrs Antoinette O Sullivan, LICSW - Medicare Clinical Social Worker in South Kingstown, RI