Nicole Marie Sullivan, LMFT in Philadelphia, PA - Medicare Marriage & Family Therapist Provider

Nicole Marie Sullivan, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Philadelphia, Pennsylvania. Her current practice location is 400 Market St Ste 720, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 892-3800.

Nicole Marie Sullivan is licensed to practice in Pennsylvania (license number MF001484) 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 1982301271.

Contact Information

	Nicole Marie Sullivan, LMFT
	400 Market St Ste 720, Philadelphia, PA 19106-2545
	(610) 892-3800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Marie Sullivan
Gender	Female
Speciality	Marriage & Family Therapist
Location	400 Market St Ste 720, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982301271
Provider Enumeration Date: 02/08/2023
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7416393376
Enrollment ID: I20240313003735

Medical Identifiers

Medical identifiers for Nicole Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982301271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MF001484 (Pennsylvania)	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. Nicole Marie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Delaware County Professional Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952485864 PECOS PAC ID: 2668436692 Enrollment ID: O20041118000546

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. Nicole Marie 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
Nicole Marie Sullivan, LMFT 400 Market St Ste 720, Philadelphia, PA 19106-2545 Ph: (610) 892-3800	Nicole Marie Sullivan, LMFT 400 Market St Ste 720, Philadelphia, PA 19106-2545 Ph: (610) 892-3800

Reviews and Comments

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Nicole Marie Sullivan, LMFT - Medicare Couples Therapy in Philadelphia, PA