Kelly S Sullivan, APRN in Hartford, CT - Medicare Nurse Practitioner

Kelly S Sullivan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Services Inc and her current practice location is 21 Grand St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 550-7500.

Kelly S Sullivan is licensed to practice in Connecticut (license number 6133) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1205348810.

Contact Information

	Kelly S Sullivan, APRN
	21 Grand St, Hartford, CT 06106-1541
	(860) 550-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly S Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	21 Grand St, Hartford, Connecticut
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly S Sullivan graduated from nursing school in 2014

NPI Data:

NPI Number: 1205348810
Provider Enumeration Date: 11/05/2017
Last Update Date: 11/05/2017

Medicare PECOS Information:

PECOS PAC ID: 8820350267
Enrollment ID: I20180322001074

Medical Identifiers

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

Identifier	Type	State	Issuer
1205348810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN276589 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	6133 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Services Inc	3870564172	27

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. Kelly S Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730284605 PECOS PAC ID: 3870564172 Enrollment ID: O20040802000825

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. Kelly S 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
Kelly S Sullivan, APRN 42 Pearl St, Holyoke, MA 01040-2657 Ph: () -	Kelly S Sullivan, APRN 21 Grand St, Hartford, CT 06106-1541 Ph: (860) 550-7500

Reviews and Comments

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Marlo L Derla, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St, Hartford, CT 06106 Phone: 860-972-0475
Olivia Holubecki, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9290

Kelly S Sullivan, APRN - Medicare Nurse Practitioner in Hartford, CT