Dr Stacy Anne Sullivan, DDS - Medicare Dentist in Yadkinville, NC

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Dr Stacy Anne Sullivan, DDS is a medicare enrolled "Dentist - General Practice" provider in Yadkinville, North Carolina. Her current practice location is 217 E Willow St, Yadkinville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 849-7777.

Dr Stacy Anne Sullivan is licensed to practice in North Carolina (license number 8109) 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 1306987631.

Contact Information

Dr Stacy Anne Sullivan, DDS
217 E Willow St,
Yadkinville, NC 27055-8193
(336) 849-7777
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Stacy Anne Sullivan
GenderFemale
SpecialityDentist - General Practice
Location217 E Willow St, Yadkinville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306987631
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 12/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1052601580
  • Enrollment ID: I20160613000079

Medical Identifiers

Medical identifiers for Dr Stacy Anne Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306987631NPI-NPPES
5902245MedicaidNC
3404399MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 8109 (North Carolina)Primary

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. Dr Stacy Anne 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
Dr Stacy Anne Sullivan, DDS
Po Box 457,
Yadkinville, NC 27055-0457

Ph: (336) 849-7777		Dr Stacy Anne Sullivan, DDS
217 E Willow St,
Yadkinville, NC 27055-8193

Ph: (336) 849-7777

Reviews and Comments


Dentist in Yadkinville, NC

Dr. Sherrill Leigh Jordan, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4314 Wyo Rd, Yadkinville, NC 27055
Phone: 336-463-2073    
Jong Koo Byun, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 114 W Main St, Yadkinville, NC 27055
Phone: 336-679-2181    Fax: 336-679-2753
Dr. William E. Virtue, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Lee Ave, Yadkinville, NC 27055
Phone: 336-679-2034    Fax: 336-679-3577

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.