Mrs Deborah Lee Sullivan, ARNP - Medicare Nurse Practitioner in Caldwell, ID

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Mrs Deborah Lee Sullivan, ARNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Caldwell, Idaho. Her current practice location is 211 E Logan St, Suite 105, Caldwell, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 454-0567.

Mrs Deborah Lee Sullivan is licensed to practice in Idaho (license number NP891) 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 1093950420.

Contact Information

Mrs Deborah Lee Sullivan, ARNP
211 E Logan St, Suite 105,
Caldwell, ID 83605-4882
(208) 454-0567
(208) 402-6635

Map and Direction




Provider's Profile

Full NameMrs Deborah Lee Sullivan
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location211 E Logan St, Caldwell, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093950420
  • Provider Enumeration Date: 12/15/2008
  • Last Update Date: 03/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810034253
  • Enrollment ID: I20130620000162

Medical Identifiers

Medical identifiers for Mrs Deborah Lee Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093950420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care NP891 (Idaho)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 Deborah Lee Sullivan allows following entities to bill medicare on her behalf.
Entity NameMolina Care Connections, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180517000247

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 Deborah Lee 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
Mrs Deborah Lee Sullivan, ARNP
3706 N Stone Creek Way,
Boise, ID 83703-4745

Ph: (208) 514-3217		Mrs Deborah Lee Sullivan, ARNP
211 E Logan St, Suite 105,
Caldwell, ID 83605-4882

Ph: (208) 454-0567

Reviews and Comments


Nurse Practitioner Nurses in Caldwell, ID

Cynthia Jane Floyd, FNP-BC
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Practice Location: 15076 Plum Rd, Caldwell, ID 83607
Phone: 208-830-5560    
Ashley Fae White, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1717 Arlington Ave, Caldwell, ID 83605
Phone: 208-459-4641    
Virginia Holmgren, PMHNP
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Medicare: Not Enrolled in Medicare
Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605
Phone: 208-459-1025    Fax: 208-466-5359
Lynette Joy Ages, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605
Phone: 208-453-6417    Fax: 208-453-6419
Robert Slade Thacker, APRN CFNP
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Medicare: Accepting Medicare Assignments
Practice Location: 712 Aviation Way, Caldwell, ID 83605
Phone: 208-302-7100    Fax: 208-302-7155
Crystal Gail Belcourt, CPNP-PC
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Medicare: Not Enrolled in Medicare
Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605
Phone: 208-505-2950    Fax: 208-505-2955

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.