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.
Healthcare Provider's Profile
Full Name | Mrs Antoinette O Sullivan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 65 Village Square Dr, South Kingstown, Rhode Island |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
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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 |
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