Patricia Kaye Sullivan, MA, LPCC-S, LICDC - Medicare Counselor in Hartville, OH

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Patricia Kaye Sullivan, MA, LPCC-S, LICDC is a medicare enrolled "Counselor - Professional" provider in Hartville, Ohio. Her current practice location is 524 Cora Pl, Hartville, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 631-1319.

Patricia Kaye Sullivan is licensed to practice in Ohio (license number E1901385) 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 1033653647.

Contact Information

Patricia Kaye Sullivan, MA, LPCC-S, LICDC
524 Cora Pl,
Hartville, OH 44632-8902
(330) 631-1319
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePatricia Kaye Sullivan
GenderFemale
SpecialityCounselor - Professional
Location524 Cora Pl, Hartville, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033653647
  • Provider Enumeration Date: 12/15/2016
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628419637
  • Enrollment ID: I20240510002821

Medical Identifiers

Medical identifiers for Patricia Kaye Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033653647NPI-NPPES
0201218MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LICDC.161366 (Ohio)Secondary
101YP2500XCounselor - Professional E1901385 (Ohio)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. Patricia Kaye Sullivan allows following entities to bill medicare on her behalf.
Entity NameHouse Of Transformation Therapy Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679334189
PECOS PAC ID: 6901247915
Enrollment ID: O20240508001888

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. Patricia Kaye 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 AddressPractice Location Address
Patricia Kaye Sullivan, MA, LPCC-S, LICDC
524 Cora Pl,
Hartville, OH 44632-8902

Ph: (330) 455-0374		Patricia Kaye Sullivan, MA, LPCC-S, LICDC
524 Cora Pl,
Hartville, OH 44632-8902

Ph: (330) 631-1319

Reviews and Comments


Counselor in Hartville, OH

Melissa S. Slatzer, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11473 Geib Ave Ne, Hartville, OH 44632
Phone: 330-268-6467    
Adam Rebh, PCC-SUPV
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 140 Grand Trunk Ave Sw Ste G, Hartville, OH 44632
Phone: 234-978-2726    Fax: 330-966-1550

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.