Ryan Daniel Sullivan, LPC in Bayfield, CO - Medicare Counselor Provider

Ryan Daniel Sullivan, LPC is a medicare enrolled "Counselor - Professional" provider in Bayfield, Colorado. His current practice location is 480 Vision Way, Bayfield, Colorado. You can reach out to his office (for appointments etc.) via phone at (207) 451-8540.

Ryan Daniel Sullivan is licensed to practice in Colorado (license number LPC.0014024) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871022418.

Contact Information

	Ryan Daniel Sullivan, LPC
	480 Vision Way, Bayfield, CO 81122
	(207) 451-8540
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Daniel Sullivan
Gender	Male
Speciality	Counselor - Professional
Location	480 Vision Way, Bayfield, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871022418
Provider Enumeration Date: 06/07/2017
Last Update Date: 05/25/2018

Medicare PECOS Information:

PECOS PAC ID: 5395094049
Enrollment ID: I20250307000461

Medical Identifiers

Medical identifiers for Ryan Daniel Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871022418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-6139 (Idaho)	Secondary
101YP2500X	Counselor - Professional	LPC.0014024 (Colorado)	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. Ryan Daniel Sullivan allows following entities to bill medicare on his behalf.

Entity Name	The Family Center Of Maine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700556743 PECOS PAC ID: 1951822386 Enrollment ID: O20250303000307

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. Ryan Daniel 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
Ryan Daniel Sullivan, LPC 480 Vision Way, Bayfield, CO 81122-9376 Ph: (207) 451-8540	Ryan Daniel Sullivan, LPC 480 Vision Way, Bayfield, CO 81122 Ph: (207) 451-8540

Reviews and Comments

Counselor in Bayfield, CO

Anne Lane, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 357 N Mountain View Dr # 206, Bayfield, CO 81122 Phone: 970-501-8198
Elisa Jaymes Horrocks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 488 Deer Ridge Dr, Bayfield, CO 81122 Phone: 828-273-6190
Alison Heather Rhodes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 W. Mill St. #217, Bayfield, CO 81122 Phone: 970-946-0984
Nicole L Fuller, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 S Clover Dr Ste 100, Bayfield, CO 81122 Phone: 970-769-2435
Mary Telep, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1327 Bayfield Parkway, Suite A, Bayfield, CO 81122 Phone: 970-844-1020
Austin Laura Presas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Forest Lakes Drive, Bayfield, CO 81122 Phone: 719-351-7522

Ryan Daniel Sullivan, LPC - Medicare Counselor in Bayfield, CO