Mrs Katie Jo Sullivan, NP in Easton, MD - Medicare Nurse Practitioner

Mrs Katie Jo Sullivan, NP is a medicare enrolled "Nurse Practitioner - Family" in Easton, Maryland. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Miles River Primary Care Llc and her current practice location is 8579 Commerce Dr Ste 104, Easton, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 822-9133.

Mrs Katie Jo Sullivan is licensed to practice in Maryland (license number R166423) 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 1649524059.

Contact Information

	Mrs Katie Jo Sullivan, NP
	8579 Commerce Dr Ste 104, Easton, MD 21601-7420
	(410) 822-9133
	(410) 822-9513

Map and Direction

Provider's Profile

Full Name	Mrs Katie Jo Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	8579 Commerce Dr Ste 104, Easton, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Katie Jo Sullivan graduated from nursing school in 2011

NPI Data:

NPI Number: 1649524059
Provider Enumeration Date: 11/07/2012
Last Update Date: 11/06/2024

Medicare PECOS Information:

PECOS PAC ID: 3274853197
Enrollment ID: I20150518000220

Medical Identifiers

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

Identifier	Type	State	Issuer
1649524059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R166423 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Umd Shore Medical Center At Easton	Easton, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Miles River Primary Care Llc	1951425545	9

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 Katie Jo Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20050127001141

Entity Name	Miles River Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891015012 PECOS PAC ID: 1951425545 Enrollment ID: O20100903000164

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 Katie Jo 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 Katie Jo Sullivan, NP 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 Ph: (410) 822-9133	Mrs Katie Jo Sullivan, NP 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 Ph: (410) 822-9133

Reviews and Comments

Nurse Practitioner Nurses in Easton, MD

Messanvi M Gozo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Dutchmans Ln, Easton, MD 21601 Phone: 410-548-2343 Fax: 844-332-3891
Rosemary Daddona, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8579 Commerce Dr Ste 106, Easton, MD 21601 Phone: 410-819-0404
Mrs. Lisa Marie Roser, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 511 Idlewild Ave, Easton, MD 21601 Phone: 410-822-6005 Fax: 410-822-9253
Anna Marie Chamberlain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8579 Commerce Dr Ste 104, Easton, MD 21601 Phone: 410-822-9133 Fax: 410-822-9513
Susan Delean-botkin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8579 Commerce Dr, Suite 106, Easton, MD 21601 Phone: 410-819-0404 Fax: 410-819-0751
Lisette Vazquez, NP, RNFA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8837 Roundhouse Cir, Easton, MD 21601 Phone: 443-481-3201 Fax: 443-481-6515
Olga Sergeyevna Negrete, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Cadmus Ln, Easton, MD 21601 Phone: 443-362-2579

Mrs Katie Jo Sullivan, NP - Medicare Nurse Practitioner in Easton, MD