Lorie Sullivan, in Bay Springs, MS - Medicare Nurse Practitioner

Lorie Sullivan, is a medicare enrolled "Nurse Practitioner - Family" in Bay Springs, Mississippi. Her current practice location is 20 S Sixth St, Bay Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 764-4501.

Lorie Sullivan is licensed to practice in Mississippi (license number 907055) 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 1518771161.

Contact Information

	Lorie Sullivan,
	20 S Sixth St, Bay Springs, MS 39422-9055
	(601) 764-4501
	Not Available

Map and Direction

Provider's Profile

Full Name	Lorie Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	20 S Sixth St, Bay Springs, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518771161
Provider Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025

Medicare PECOS Information:

PECOS PAC ID: 2365963444
Enrollment ID: I20250305001854

Medical Identifiers

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

Identifier	Type	State	Issuer
1518771161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	907055 (Mississippi)	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. Lorie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Raleigh Family Health Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497173942 PECOS PAC ID: 5799902789 Enrollment ID: O20140815000301

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. Lorie 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
Lorie Sullivan, 140 Thompson Rd, Lake, MS 39092-9495 Ph: (601) 527-2740	Lorie Sullivan, 20 S Sixth St, Bay Springs, MS 39422-9055 Ph: (601) 764-4501

Reviews and Comments

Nurse Practitioner Nurses in Bay Springs, MS

Mallory Odom Jordan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-2155
Mrs. Pamela R Fail, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 A South 6th Street, Bay Springs, MS 39422 Phone: 601-764-2101 Fax: 601-764-4789
Mrs. Amber Miles, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-4494 Fax: 601-764-4649
Mrs. Leanne Terrell Bynum, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 S Sixth St # A, Bay Springs, MS 39422 Phone: 601-764-2155 Fax: 601-764-2150
Mrs. Kristen Leigh Ellzey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-2155 Fax: 601-764-2150
Rebecca Little, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 S. 6th Street, Bay Springs, MS 39422 Phone: 601-764-2155

Lorie Sullivan, - Medicare Nurse Practitioner in Bay Springs, MS