Mrs Sherry Denise Sullens, MA, LPC, CADCII in Dallas, OR

Mrs Sherry Denise Sullens, MA, LPC, CADCII is a medicare enrolled "Counselor - Professional" provider in Dallas, Oregon. Her current practice location is 182 Sw Academy St, Dallas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 831-5970.

Mrs Sherry Denise Sullens is licensed to practice in Oregon (license number ) 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 1831258979.

Contact Information

	Mrs Sherry Denise Sullens, MA, LPC, CADCII
	182 Sw Academy St, Dallas, OR 97338-1996
	(503) 831-5970
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Sherry Denise Sullens
Gender	Female
Speciality	Counselor - Professional
Location	182 Sw Academy St, Dallas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831258979
Provider Enumeration Date: 12/06/2006
Last Update Date: 04/11/2018

Medicare PECOS Information:

PECOS PAC ID: 1153763107
Enrollment ID: I20240522003592

Medical Identifiers

Medical identifiers for Mrs Sherry Denise Sullens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831258979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(Oregon)	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 Sherry Denise Sullens allows following entities to bill medicare on her behalf.

Entity Name	Salem Psychiatric Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619061314 PECOS PAC ID: 6002702420 Enrollment ID: O20040430000049

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 Sherry Denise Sullens 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 Sherry Denise Sullens, MA, LPC, CADCII 12505 Airlie Rd, Monmouth, OR 97361-9765 Ph: (971) 241-8680	Mrs Sherry Denise Sullens, MA, LPC, CADCII 182 Sw Academy St, Dallas, OR 97338-1996 Ph: (503) 831-5970

Reviews and Comments

Counselor in Dallas, OR

Kimberly Dawn Howard, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726
Jedonne Jorstad, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Ste 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-623-1874
Zachary Beeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Katrina Jeannine West, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Susan Marie Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289
Mrs. Margaret Ann Terry, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Tiffany Bouchard, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, County Of Polk, Suite 220, Dallas, OR 97338 Phone: 503-623-9317

Mrs Sherry Denise Sullens, MA, LPC, CADCII - Medicare Counselor in Dallas, OR