Amy Iris Sullivan, PMHNP - Medicare Nurse Practitioner in Clifton Park, NY

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Amy Iris Sullivan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clifton Park, New York. Her current practice location is 939 Route 146 Ste 620, Clifton Park, New York. You can reach out to her office (for appointments etc.) via phone at (518) 925-7217.

Amy Iris Sullivan is licensed to practice in New York (license number 404245) 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 1194463398.

Contact Information

Amy Iris Sullivan, PMHNP
939 Route 146 Ste 620,
Clifton Park, NY 12065-3629
(518) 925-7217
Not Available

Map and Direction




Provider's Profile

Full NameAmy Iris Sullivan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location939 Route 146 Ste 620, Clifton Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194463398
  • Provider Enumeration Date: 05/26/2022
  • Last Update Date: 01/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3971989542
  • Enrollment ID: I20221005001069

Medical Identifiers

Medical identifiers for Amy Iris Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194463398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 404245 (New York)Primary
390200000XStudent In An Organized Health Care Education/training Program (NU)Secondary

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. Amy Iris Sullivan allows following entities to bill medicare on her behalf.
Entity NameSamaritan Hospital of Troy, New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782
Entity NameSt Peters Hospital of the City of Albany
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518042357
PECOS PAC ID: 2668460072
Enrollment ID: O20040504001301
Entity NamePinnacle Behavioral Health Ipa, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447276720
PECOS PAC ID: 5294703005
Enrollment ID: O20061005000245

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. Amy Iris 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
Amy Iris Sullivan, PMHNP
Po Box 14890,
Albany, NY 12212-4890

Ph: Not Available		Amy Iris Sullivan, PMHNP
939 Route 146 Ste 620,
Clifton Park, NY 12065-3629

Ph: (518) 925-7217

Reviews and Comments


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Songye Pai,
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Erin Kathryn Student, NP
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Denise Riley, PMHNP
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Medicare: Not Enrolled in Medicare
Practice Location: 4 Emma Ln Ste 402, Clifton Park, NY 12065
Phone: 518-557-1712    Fax: 518-557-1713
Alexandra P. Riccio, N.P.
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Medicare: Accepting Medicare Assignments
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Phone: 518-925-3225    Fax: 855-595-1089
Julia M Gross, FNP
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Medicare: May Accept Medicare Assignments
Practice Location: 954 Route 146, Clifton Park, NY 12065
Phone: 518-952-4000    Fax: 518-280-3053

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.