James Sullivan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Gulfport, MS

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James Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gulfport, Mississippi. His current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 867-5000.

James Sullivan is licensed to practice in Mississippi (license number 901358) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437523958.

Contact Information

James Sullivan, CRNA
4500 13th St,
Gulfport, MS 39501-2515
(228) 867-5000
Not Available

Map and Direction




Provider's Profile

Full NameJames Sullivan
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location4500 13th St, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437523958
  • Provider Enumeration Date: 11/20/2015
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668777889
  • Enrollment ID: I20160226000343

Medical Identifiers

Medical identifiers for James Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437523958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine R882067 (Mississippi)Secondary
367500000XNurse Anesthetist, Certified Registered 901358 (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. James Sullivan allows following entities to bill medicare on his behalf.
Entity NameSinging River Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083893937
PECOS PAC ID: 3870405194
Enrollment ID: O20031104000435
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20141015000028
Entity NameSinging River Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861010159
PECOS PAC ID: 5294154829
Enrollment ID: O20201001001497
Entity NameSinging River Health System
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1740918937
PECOS PAC ID: 3870405194
Enrollment ID: O20221202000423
Entity NameSinging River Gulfport
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1780312504
PECOS PAC ID: 5294154829
Enrollment ID: O20230106000462
Entity NameEtas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679259360
PECOS PAC ID: 8123481934
Enrollment ID: O20230828000521

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. James 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
James Sullivan, CRNA
4500 13th St,
Gulfport, MS 39501-2515

Ph: () -		James Sullivan, CRNA
4500 13th St,
Gulfport, MS 39501-2515

Ph: (228) 867-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Gulfport, MS

Kathryn Pittman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Jason Wells, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3281    Fax: 228-867-5117
Victor P Polito, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Glen Deitrick, C.R.N.A
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Glen Michael Cavalier, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Julie K Klester, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Trinh Thu Weatherly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    

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.