Molly Breck Sullivan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. Her current practice location is
982 Mission St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 265-2509.
Molly Breck Sullivan is licensed to practice in California (license number 106980) 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 1457919037.
Healthcare Provider's Profile
| Full Name | Molly Breck Sullivan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 982 Mission St, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457919037
- Provider Enumeration Date: 05/30/2019
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921548306
- Enrollment ID: I20240912000340
Medical Identifiers
Medical identifiers for Molly Breck Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457919037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW83375 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 106980 (California) | 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. Molly Breck Sullivan allows following entities to bill medicare on her behalf.
| Entity Name | University Of California Sfgh Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386619344
PECOS PAC ID: 5496668410
Enrollment ID: O20050401000140 |
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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. Molly Breck 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 |
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Molly Breck Sullivan, LCSW
982 Mission St,
San Francisco, CA 94103-2911
Ph: (415) 265-2509 | Molly Breck Sullivan, LCSW
982 Mission St,
San Francisco, CA 94103-2911
Ph: (415) 265-2509 |
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