Mrs Kandis Kay Sullivan, in Tomah, WI - Medicare Nurse Practitioner

Mrs Kandis Kay Sullivan, is a medicare enrolled "Nurse Practitioner - Primary Care" in Tomah, Wisconsin. Her current practice location is 500 E Veterans St, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-3971.

Mrs Kandis Kay Sullivan is licensed to practice in Wisconsin (license number 3857-33) 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 1861714917.

Contact Information

	Mrs Kandis Kay Sullivan,
	500 E Veterans St, Tomah, WI 54660-3105
	(608) 372-3971
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kandis Kay Sullivan
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	500 E Veterans St, Tomah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861714917
Provider Enumeration Date: 02/17/2010
Last Update Date: 07/19/2016

Medicare PECOS Information:

PECOS PAC ID: 1254694912
Enrollment ID: I20180410001774

Medical Identifiers

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

Identifier	Type	State	Issuer
1861714917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	108168-030 (Wisconsin)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	3857-33 (Wisconsin)	Primary

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 Kandis Kay 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 Kandis Kay Sullivan, 1904 Cedar Creek Dr, Rothschild, WI 54474-1461 Ph: (715) 470-0502	Mrs Kandis Kay Sullivan, 500 E Veterans St, Tomah, WI 54660-3105 Ph: (608) 372-3971

Reviews and Comments

Nurse Practitioner Nurses in Tomah, WI

Evelyn Williams Bragg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Ryanne Inglett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181
Mr. Daniel Hannan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Sarah J Rezin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1240
Amy Pollack, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Kayla J Gilman, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Gopher Dr, Tomah, WI 54660 Phone: 608-372-4111
Agnieszka Dendura, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-371-2181

Mrs Kandis Kay Sullivan, - Medicare Nurse Practitioner in Tomah, WI