Jessica Sullivan, CFNP - Medicare Nurse Practitioner in Woodland, MS

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Jessica Sullivan, CFNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Woodland, Mississippi. Her current practice location is 120 Market St, Woodland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 456-0111.

Jessica Sullivan is licensed to practice in Mississippi (license number 906933) 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 1407682420.

Contact Information

Jessica Sullivan, CFNP
120 Market St,
Woodland, MS 39776-9104
(662) 456-0111
(662) 456-7335

Map and Direction




Provider's Profile

Full NameJessica Sullivan
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location120 Market St, Woodland, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407682420
  • Provider Enumeration Date: 09/09/2024
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335678697
  • Enrollment ID: I20250131000101

Medical Identifiers

Medical identifiers for Jessica Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407682420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 906933 (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. Jessica Sullivan allows following entities to bill medicare on her behalf.
Entity NameWoodland Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629282330
PECOS PAC ID: 9436346053
Enrollment ID: O20110428000315

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. Jessica 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
Jessica Sullivan, CFNP
18780 Highway 46,
Mantee, MS 39751-9514

Ph: (662) 295-1944		Jessica Sullivan, CFNP
120 Market St,
Woodland, MS 39776-9104

Ph: (662) 456-0111

Reviews and Comments


Nurse Practitioner Nurses in Woodland, MS

Ms. Jerry Sullivan, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Market Street, Woodland, MS 39776
Phone: 662-456-0111    Fax: 662-456-7335

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.