Jacquelyn Sullivan, NP in Ocean Springs, MS - Medicare Nurse Practitioner

Jacquelyn Sullivan, NP is a medicare enrolled "Nurse Practitioner - Family" in Ocean Springs, Mississippi. Her current practice location is 1270 Ocean Springs Rd, Ocean Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 875-3033.

Jacquelyn Sullivan is licensed to practice in Mississippi (license number 904843) 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 1306518477.

Contact Information

	Jacquelyn Sullivan, NP
	1270 Ocean Springs Rd, Ocean Springs, MS 39564-3409
	(228) 875-3033
	(228) 875-3989

Map and Direction

Provider's Profile

Full Name	Jacquelyn Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1270 Ocean Springs Rd, Ocean Springs, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306518477
Provider Enumeration Date: 09/28/2021
Last Update Date: 11/12/2021

Medicare PECOS Information:

PECOS PAC ID: 0042609877
Enrollment ID: I20211116001422

Medical Identifiers

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

Identifier	Type	State	Issuer
1306518477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904843 (Mississippi)	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. Jacquelyn Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Singing River Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435

Entity Name	Singing River Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497

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. Jacquelyn 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
Jacquelyn Sullivan, NP 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576	Jacquelyn Sullivan, NP 1270 Ocean Springs Rd, Ocean Springs, MS 39564-3409 Ph: (228) 875-3033

Reviews and Comments

Nurse Practitioner Nurses in Ocean Springs, MS

Stephanie N Nguyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3704 Bienville Blvd Ste B, Ocean Springs, MS 39564 Phone: 228-872-4040 Fax: 228-872-3612
Patricia Lewis, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1124 Oakleigh Rd, Ocean Springs, MS 39564 Phone: 228-875-3778
John Slover, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1111
Lauren Elizabeth Hitt, N.P-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10404 Tucker Rd, Ocean Springs, MS 39565 Phone: 223-354-9505 Fax: 228-354-9575
Christal Sareda Fairley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3099 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-872-2403
Mrs. Christine Tracey Balius, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1158
Stephanie Edmondson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-872-1641 Fax: 228-809-5585

Jacquelyn Sullivan, NP - Medicare Nurse Practitioner in Ocean Springs, MS