Kerri Jean Sullivan, NP in Dartmouth, MA - Medicare Nurse Practitioner

Kerri Jean Sullivan, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dartmouth, Massachusetts. Her current practice location is 516 Hawthorn St Ste 4, Dartmouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 929-7420.

Kerri Jean Sullivan is licensed to practice in Massachusetts (license number 279965) 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 1003590316.

Contact Information

	Kerri Jean Sullivan, NP
	516 Hawthorn St Ste 4, Dartmouth, MA 02747-3733
	(774) 929-7420
	Not Available

Map and Direction

Provider's Profile

Full Name	Kerri Jean Sullivan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	516 Hawthorn St Ste 4, Dartmouth, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003590316
Provider Enumeration Date: 06/15/2023
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6103270756
Enrollment ID: I20230929002581

Medical Identifiers

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

Identifier	Type	State	Issuer
1003590316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	279965 (Massachusetts)	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. Kerri Jean Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Physicians Of Cape Cod Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193

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. Kerri Jean 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
Kerri Jean Sullivan, NP 516 Hawthorn St Ste 4, Dartmouth, MA 02747-3733 Ph: (774) 929-7420	Kerri Jean Sullivan, NP 516 Hawthorn St Ste 4, Dartmouth, MA 02747-3733 Ph: (774) 929-7420

Reviews and Comments

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Jennifer Sadeck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Faunce Corner Rd, Dartmouth, MA 02747 Phone: 508-996-3991
Tracy Beckman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 480 Hawthorn St, Dartmouth, MA 02747 Phone: 508-973-9170 Fax: 508-973-9175
Mrs. Madison Kendrick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 237a State Rd, Dartmouth, MA 02747 Phone: 508-979-1100

Kerri Jean Sullivan, NP - Medicare Nurse Practitioner in Dartmouth, MA