Courtney D Sullivan, ACNP in Omaha, NE - Medicare Nurse Practitioner

Courtney D Sullivan, ACNP is a medicare enrolled "Nurse Practitioner" in Omaha, Nebraska. Her current practice location is 8111 Dodge St, Suite 363, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 354-8155.

Courtney D Sullivan is licensed to practice in Nebraska (license number 111234) 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 1346497757.

Contact Information

	Courtney D Sullivan, ACNP
	8111 Dodge St, Suite 363, Omaha, NE 68114-4129
	(402) 354-8155
	Not Available

Map and Direction

Provider's Profile

Full Name	Courtney D Sullivan
Gender	Female
Speciality	Nurse Practitioner
Location	8111 Dodge St, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346497757
Provider Enumeration Date: 08/27/2008
Last Update Date: 09/22/2016

Medicare PECOS Information:

PECOS PAC ID: 2264593367
Enrollment ID: I20120118000697

Medical Identifiers

Medical identifiers for Courtney D Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346497757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209007230 (Illinois)	Secondary
363L00000X	Nurse Practitioner	111234 (Nebraska)	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. Courtney D Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Alegent Creighton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033288923 PECOS PAC ID: 1850285255 Enrollment ID: O20040326000802

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. Courtney D 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
Courtney D Sullivan, ACNP 7261 Mercy Rd, Suite 363, Omaha, NE 68124-2311 Ph: (402) 398-6255	Courtney D Sullivan, ACNP 8111 Dodge St, Suite 363, Omaha, NE 68114-4129 Ph: (402) 354-8155

Reviews and Comments

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Courtney D Sullivan, ACNP - Medicare Nurse Practitioner in Omaha, NE