Kara Lynn Forte-sullen, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Highland Hts, Ohio. Her current practice location is
675 Alpha Dr Ste C, Highland Hts, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 347-8498.
Kara Lynn Forte-sullen is licensed to practice in Ohio (license number APRN.CNP.025578) 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 1083180129.
Provider's Profile
| Full Name | Kara Lynn Forte-sullen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 675 Alpha Dr Ste C, Highland Hts, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083180129
- Provider Enumeration Date: 10/16/2018
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951632587
- Enrollment ID: I20191014001617
Medical Identifiers
Medical identifiers for Kara Lynn Forte-sullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083180129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.025578 (Ohio) | 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. Kara Lynn Forte-sullen allows following entities to bill medicare on her behalf.
| Entity Name | Rakesh Ranjan M.d. & Assoc., Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033143722
PECOS PAC ID: 6507895067
Enrollment ID: O20050805000212 |
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| Entity Name | Seasons Of Wellness |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114707155
PECOS PAC ID: 0244766699
Enrollment ID: O20241209001219 |
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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. Kara Lynn Forte-sullen 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 |
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Kara Lynn Forte-sullen, CNP
675 Alpha Dr Ste C,
Highland Hts, OH 44143-2139
Ph: (216) 347-8498 | Kara Lynn Forte-sullen, CNP
675 Alpha Dr Ste C,
Highland Hts, OH 44143-2139
Ph: (216) 347-8498 |
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