Marissa Sunnekalb, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lillian, Alabama. Her current practice location is
3249 Vista Del Mar Dr, Lillian, Alabama. You can reach out to her office (for appointments etc.) via phone at
(610) 468-5451.
Marissa Sunnekalb is licensed to practice in Florida (license number 11027844) 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 1760164578.
Provider's Profile
Full Name | Marissa Sunnekalb |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3249 Vista Del Mar Dr, Lillian, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760164578
- Provider Enumeration Date: 08/01/2023
- Last Update Date: 10/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103272521
- Enrollment ID: I20231020002426
Medical Identifiers
Medical identifiers for Marissa Sunnekalb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760164578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 11027844 (Florida) | 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. Marissa Sunnekalb allows following entities to bill medicare on her behalf.
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
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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. Marissa Sunnekalb 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 |
Marissa Sunnekalb, FNP 3249 Vista Del Mar Dr, Lillian, AL 36549-3005 Ph: (610) 468-5451 | Marissa Sunnekalb, FNP 3249 Vista Del Mar Dr, Lillian, AL 36549-3005 Ph: (610) 468-5451 |
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