Mrs Jessica Sullivan, APNP in Madison, WI - Medicare Nurse Practitioner

Mrs Jessica Sullivan, APNP is a medicare enrolled "Nurse Practitioner - Family" in Madison, Wisconsin. Her current practice location is 333 E Campus Mall, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 265-5600.

Mrs Jessica Sullivan is licensed to practice in Wisconsin (license number 9871-33) 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 1497380778.

Contact Information

	Mrs Jessica Sullivan, APNP
	333 E Campus Mall, Madison, WI 53715-1365
	(608) 265-5600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Sullivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	333 E Campus Mall, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497380778
Provider Enumeration Date: 03/07/2020
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 2264853977
Enrollment ID: I20200605000282

Medical Identifiers

Medical identifiers for Mrs Jessica Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497380778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9871-33 (Wisconsin)	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 Jessica Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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 Jessica 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 Jessica Sullivan, APNP 6720 Honey Bee Ct, Deforest, WI 53532-9301 Ph: () -	Mrs Jessica Sullivan, APNP 333 E Campus Mall, Madison, WI 53715-1365 Ph: (608) 265-5600

Reviews and Comments

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Mrs Jessica Sullivan, APNP - Medicare Nurse Practitioner in Madison, WI