Lisa Ann Sullivan, NP in Fairfax, VA - Medicare Nurse Practitioner

Lisa Ann Sullivan, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fairfax, Virginia. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Inova Cares - Community, Inova Cares - Community and her current practice location is 3998 Fair Ridge Dr, Ste 320, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 295-9360.

Lisa Ann Sullivan is licensed to practice in Virginia (license number 0024171328) 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 1952650236.

Contact Information

	Lisa Ann Sullivan, NP
	3998 Fair Ridge Dr, Ste 320, Fairfax, VA 22033-2907
	(703) 295-9360
	(703) 295-9369

Map and Direction

Provider's Profile

Full Name	Lisa Ann Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	3998 Fair Ridge Dr, Fairfax, Virginia
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 Ann Sullivan graduated from nursing school in 2005

NPI Data:

NPI Number: 1952650236
Provider Enumeration Date: 09/03/2012
Last Update Date: 03/25/2015

Medicare PECOS Information:

PECOS PAC ID: 1355572652
Enrollment ID: I20140331001398

Medical Identifiers

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

Identifier	Type	State	Issuer
1952650236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN58779 (District Of Columbia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	0024171328 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fair Oaks Hospital	Fairfax, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inova Cares - Community	9537526330	180
Inova Cares - Community	9537526330	180

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 Ann Sullivan allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

Entity Name	Inova Cares - Community
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230609002576

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 Ann 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 Ann Sullivan, NP 3998 Fair Ridge Drive, Suite 320, Fairfax, VA 22033 Ph: (703) 766-9737	Lisa Ann Sullivan, NP 3998 Fair Ridge Dr, Ste 320, Fairfax, VA 22033-2907 Ph: (703) 295-9360

Reviews and Comments

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Josephine Pangan Bolivar-kerns, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9299 Tower Side Dr Apt 438, Fairfax, VA 22031 Phone: 414-939-6346

Lisa Ann Sullivan, NP - Medicare Nurse Practitioner in Fairfax, VA