Mrs Amber Ann Marie Sullivan, FNP-BC in Dyersburg, TN

Mrs Amber Ann Marie Sullivan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Dyersburg, Tennessee. Her current practice location is 400 E Tickle St, Dyersburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 287-2308.

Mrs Amber Ann Marie Sullivan is licensed to practice in Tennessee (license number 33135) 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 1467158105.

Contact Information

	Mrs Amber Ann Marie Sullivan, FNP-BC
	400 E Tickle St, Dyersburg, TN 38024-3120
	(731) 287-2308
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amber Ann Marie Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 E Tickle St, Dyersburg, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467158105
Provider Enumeration Date: 02/03/2023
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5597139451
Enrollment ID: I20230316002056

Medical Identifiers

Medical identifiers for Mrs Amber Ann Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467158105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	212119 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	33135 (Tennessee)	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. Mrs Amber Ann Marie Sullivan allows following entities to bill medicare on her behalf.

Entity Name	T M Carr Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992706097 PECOS PAC ID: 3375504913 Enrollment ID: O20041026000787

Entity Name	Hometown Urgent Care Of Dyersburg, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003318593 PECOS PAC ID: 8820349202 Enrollment ID: O20180924003434

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. Mrs Amber Ann Marie 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
Mrs Amber Ann Marie Sullivan, FNP-BC 934 Hunter Ln, Dyersburg, TN 38024-7333 Ph: (731) 676-1173	Mrs Amber Ann Marie Sullivan, FNP-BC 400 E Tickle St, Dyersburg, TN 38024-3120 Ph: (731) 287-2308

Reviews and Comments

Nurse Practitioner Nurses in Dyersburg, TN

Heather Haddock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1718 Parr Ave Ste E, Dyersburg, TN 38024 Phone: 731-285-9938
Tammy Javellana, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2017 Saint John Ave, Suite B, Dyersburg, TN 38024 Phone: 731-285-6110 Fax: 731-285-6964
Amber Elaine Mejia, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 179 Quail Hollow Dr, Dyersburg, TN 38024 Phone: 870-623-8410
Whitney Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 East Parkview, Dyersburg, TN 38024 Phone: 731-285-2100
Tina Boyd-seng, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1950 Us Highway 51 Byp N, Dyersburg, TN 38024 Phone: 731-217-0449
Leslie Olivia Dunevant, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1999 Saint John Ave, Dyersburg, TN 38024 Phone: 731-286-1400
Mr. David Brian Hughes, RN GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Scotsman Trce, Dyersburg, TN 38024 Phone: 731-571-8808 Fax: 731-214-1816

Mrs Amber Ann Marie Sullivan, FNP-BC - Medicare Nurse Practitioner in Dyersburg, TN