Mrs Jennifer Sullivan Price, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Seymour Johnson Afb, North Carolina. Her current practice location is
2803 Medical Campus Drive, Seymour Johnson Afb, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 277-7882.
Mrs Jennifer Sullivan Price is licensed to practice in North Carolina (license number COO7720) 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 1396006722.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Sullivan Price |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2803 Medical Campus Drive, Seymour Johnson Afb, North Carolina |
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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: 1396006722
- Provider Enumeration Date: 06/01/2012
- Last Update Date: 08/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971768961
- Enrollment ID: I20120625000391
Medical Identifiers
Medical identifiers for Mrs Jennifer Sullivan Price such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396006722 | NPI | - | NPPES |
6009108 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | COO7720 (North Carolina) | 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 Jennifer Sullivan Price allows following entities to bill medicare on her behalf.
Entity Name | Goldsboro Counseling Center Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881651347 PECOS PAC ID: 5890747885 Enrollment ID: O20051207000150 |
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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 Jennifer Sullivan Price 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 Jennifer Sullivan Price, LCSW 208 Malloy St, Unit E, Goldsboro, NC 27534-4478 Ph: (919) 778-5594 | Mrs Jennifer Sullivan Price, LCSW 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531 Ph: (984) 277-7882 |
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