Sally Sullivan, CRNA in Jackson, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Sally Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Mississippi. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Gac Anesthesia Llc and her current practice location is 971 Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (334) 279-1450.

Sally Sullivan is licensed to practice in Mississippi (license number R892793) 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 1609223205.

Contact Information

	Sally Sullivan, CRNA
	971 Lakeland Dr, Jackson, MS 39216-4643
	(334) 279-1450
	(334) 395-4110

Map and Direction

Provider's Profile

Full Name	Sally Sullivan
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	971 Lakeland Dr, Jackson, Mississippi
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:

Sally Sullivan graduated from nursing school in 2016

NPI Data:

NPI Number: 1609223205
Provider Enumeration Date: 05/24/2016
Last Update Date: 05/24/2016

Medicare PECOS Information:

PECOS PAC ID: 2860787975
Enrollment ID: I20160827000203

Medical Identifiers

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

Identifier	Type	State	Issuer
1609223205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R892793 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gac Anesthesia Llc	4587902663	5

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. Sally Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Physicians Anesthesia Group, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407890783 PECOS PAC ID: 6103806864 Enrollment ID: O20040722001098

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277

Entity Name	Gac Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386112639 PECOS PAC ID: 4587902663 Enrollment ID: O20190214002975

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. Sally 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
Sally Sullivan, CRNA Po Box 4608, Jackson, MS 39296-4608 Ph: (334) 279-1450	Sally Sullivan, CRNA 971 Lakeland Dr, Jackson, MS 39216-4643 Ph: (334) 279-1450

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jackson, MS

Emily Sumrall Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Theresa Ann Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Austin Grant Conn, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Mollie Harrell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Pfs, Jackson, MS 39216 Phone: 601-984-4619
John Tyler Mclendon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000
James Walter Ishee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Zachary Halliwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000

Sally Sullivan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, MS