Lisa A Sullivan, CRNA in Fort Myers, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Lisa A Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Myers, Florida. She graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Care Group Pc, Granite State Anesthesia Partners, Llc, Low Country Anesthesia, Pa and her current practice location is 8380 Riverwalk Park Blvd Ste 220, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 215-4104.

Lisa A Sullivan is licensed to practice in New Hampshire (license number 033956-23) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992783328.

Contact Information

	Lisa A Sullivan, CRNA
	8380 Riverwalk Park Blvd Ste 220, Fort Myers, FL 33919-8758
	(239) 215-4104
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa A Sullivan
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	8380 Riverwalk Park Blvd Ste 220, Fort Myers, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa A Sullivan graduated from nursing school in 2001

NPI Data:

NPI Number: 1992783328
Provider Enumeration Date: 01/05/2006
Last Update Date: 10/29/2022

Medicare PECOS Information:

PECOS PAC ID: 0547217168
Enrollment ID: I20050406000399

Medical Identifiers

Medical identifiers for Lisa A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992783328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	033956-23-11 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	033956-23 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Catholic Medical Center	Manchester, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Care Group Pc	5395646178	31
Granite State Anesthesia Partners, Llc	6709315708	42
Low Country Anesthesia, Pa	8729063797	56

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. Lisa A Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Care Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629074224 PECOS PAC ID: 5395646178 Enrollment ID: O20040115000446

Entity Name	Narragansett Bay Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20200506000292

Entity Name	Catholic Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1003692112 PECOS PAC ID: 6103897129 Enrollment ID: O20231122002805

Entity Name	Granite State Anesthesia Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821815010 PECOS PAC ID: 6709315708 Enrollment ID: O20250121001023

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. Lisa A 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
Lisa A Sullivan, CRNA 4261 Tree Tops Dr, Port Charlotte, FL 33953-5919 Ph: (603) 591-5739	Lisa A Sullivan, CRNA 8380 Riverwalk Park Blvd Ste 220, Fort Myers, FL 33919-8758 Ph: (239) 215-4104

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Myers, FL

Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Adrianne N Noboa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12511 World Plaza Ln, Building 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151

Lisa A Sullivan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Myers, FL