Mary A Sullivan, PCNS - Medicare Nurse Practitioner in Providence, RI

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Mary A Sullivan, PCNS is a medicare enrolled "Nurse Practitioner - Gerontology" in Providence, Rhode Island. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 50 Maude St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 456-2000.

Mary A Sullivan is licensed to practice in California (license number 21544) 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 1386662484.

Contact Information

Mary A Sullivan, PCNS
50 Maude St,
Providence, RI 02908-4325
(401) 456-2000
(401) 456-6554

Map and Direction




Provider's Profile

Full NameMary A Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location50 Maude St, Providence, Rhode Island
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:
  • Mary A Sullivan graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1386662484
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 02/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8729094131
  • Enrollment ID: I20120320000963

Medical Identifiers

Medical identifiers for Mary A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386662484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 21544 (California)Primary
101YM0800XCounselor - Mental Health PPNS00073 (Rhode Island)Secondary

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. Mary A Sullivan allows following entities to bill medicare on her behalf.
Entity NameTelecare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720164882
PECOS PAC ID: 6901820380
Enrollment ID: O20070614000167

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. Mary 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 AddressPractice Location Address
Mary A Sullivan, PCNS
50 Maude St,
Providence, RI 02908-4325

Ph: (401) 456-2000		Mary A Sullivan, PCNS
50 Maude St,
Providence, RI 02908-4325

Ph: (401) 456-2000

Reviews and Comments


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Elizabeth Moore Medbury, APRN
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Korrinne Ivey, WHNP-BC
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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.