Mallory Paige Sullivan, APRN - Medicare Nurse Practitioner in Panama City Beach, FL

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Mallory Paige Sullivan, APRN is a medicare enrolled "Nurse Practitioner" in Panama City Beach, Florida. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Health First Privia Medical Group, Llc and her current practice location is 12234 Panama City Beach Pkwy Ste C, Panama City Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 233-2323.

Mallory Paige Sullivan is licensed to practice in Florida (license number APRN11020277) 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 1639800634.

Contact Information

Mallory Paige Sullivan, APRN
12234 Panama City Beach Pkwy Ste C,
Panama City Beach, FL 32407-2726
(850) 233-2323
(850) 233-1055

Map and Direction




Provider's Profile

Full NameMallory Paige Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location12234 Panama City Beach Pkwy Ste C, Panama City Beach, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mallory Paige Sullivan graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1639800634
  • Provider Enumeration Date: 06/21/2022
  • Last Update Date: 08/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628443819
  • Enrollment ID: I20230330001958

Medical Identifiers

Medical identifiers for Mallory Paige Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639800634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11020277 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Sacred Heart BayPanama city, FLHospital
Sacred Heart Hospital On The Emerald CoastMiramar beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health First Privia Medical Group, Llc3173965993192

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. Mallory Paige Sullivan allows following entities to bill medicare on her behalf.
Entity NameHealth First Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750626495
PECOS PAC ID: 7416100672
Enrollment ID: O20130122000135
Entity NameHealthpoint Medical Group Of The Emerald Coast, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679097679
PECOS PAC ID: 4981970910
Enrollment ID: O20171019000668
Entity NameHealth First Privia Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700649043
PECOS PAC ID: 3173965993
Enrollment ID: O20240524002147

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. Mallory Paige 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 AddressPractice Location Address
Mallory Paige Sullivan, APRN
12234 Panama City Beach Pkwy Ste C,
Panama City Beach, FL 32407-2726

Ph: (850) 233-2323		Mallory Paige Sullivan, APRN
12234 Panama City Beach Pkwy Ste C,
Panama City Beach, FL 32407-2726

Ph: (850) 233-2323

Reviews and Comments


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Cassandra Foran, NP
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Phone: 850-233-6922    Fax: 850-235-8801

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.