Courtney Sullivan, FNP-C - Medicare Nurse Practitioner in Kershaw, SC

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Courtney Sullivan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kershaw, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolina Behavioral Healthcare, Llc and her current practice location is 505 Woodland Drive, Kershaw, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 282-7465.

Courtney Sullivan is licensed to practice in South Carolina (license number 22264) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366852345.

Contact Information

Courtney Sullivan, FNP-C
505 Woodland Drive,
Kershaw, SC 29067-1704
(803) 282-7465
(803) 262-0198

Map and Direction




Provider's Profile

Full NameCourtney Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location505 Woodland Drive, Kershaw, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtney Sullivan graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1366852345
  • Provider Enumeration Date: 04/30/2014
  • Last Update Date: 03/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345594719
  • Enrollment ID: I20181121002107

Medical Identifiers

Medical identifiers for Courtney Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366852345NPI-NPPES
1366852345OtherSCALL INSURERS
1366852345MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22264 (South Carolina)Primary
163W00000XRegistered Nurse 100813 (South Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Behavioral Healthcare, Llc01435868002

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 Sullivan allows following entities to bill medicare on her behalf.
Entity NameCarolina Behavioral Healthcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174045710
PECOS PAC ID: 0143586800
Enrollment ID: O20171113002545

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 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
Courtney Sullivan, FNP-C
5545 Flat Creek Rd,
Heath Springs, SC 29058

Ph: (803) 320-4797		Courtney Sullivan, FNP-C
505 Woodland Drive,
Kershaw, SC 29067-1704

Ph: (803) 282-7465

Reviews and Comments


Nurse Practitioner Nurses in Kershaw, SC

Beverly H Timmons,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 216 E Marion St, Kershaw, SC 29067
Phone: 803-475-3475    Fax: 803-475-5360
Ms. Lisa D Clyburn, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 E Marion St, Kershaw, SC 29067
Phone: 803-475-3350    Fax: 803-475-3355
Mrs. Sheresa Blackmon Catoe, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Woodland Drive, Kershaw, SC 29067
Phone: 803-313-3700    Fax: 803-289-0909
Jessica Brubeck, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Woodland Dr, Kershaw, SC 29067
Phone: 843-680-1342    
Mrs. Teresa Yvette Davis, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 S Matson St, Kershaw, SC 29067
Phone: 803-475-1156    Fax: 803-475-1128
Mrs. Denise Marie Wolfe, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 212 E Marion St, Kershaw, SC 29067
Phone: 803-475-2083    

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.