Stacy T Sullenberger, PNP - Medicare Nurse Practitioner in Sidney, OH

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Stacy T Sullenberger, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Sidney, Ohio. Her current practice location is 915 Michigan St, Sidney, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 498-4488.

Stacy T Sullenberger is licensed to practice in Ohio (license number APRN.CNP.14148) 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 1023355484.

Contact Information

Stacy T Sullenberger, PNP
915 Michigan St,
Sidney, OH 45365-2401
(937) 498-4488
Not Available

Map and Direction




Provider's Profile

Full NameStacy T Sullenberger
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location915 Michigan St, Sidney, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023355484
  • Provider Enumeration Date: 01/04/2013
  • Last Update Date: 07/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7315355161
  • Enrollment ID: I20210416000922

Medical Identifiers

Medical identifiers for Stacy T Sullenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023355484NPI-NPPES
0330291MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics APRN.CNP.14148 (Ohio)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. Stacy T Sullenberger allows following entities to bill medicare on her behalf.
Entity NameDayton Childrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952480030
PECOS PAC ID: 5496792418
Enrollment ID: O20050412000416
Entity NameDayton Childrens Specialty Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225192610
PECOS PAC ID: 5496916124
Enrollment ID: O20181024001690

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. Stacy T Sullenberger 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
Stacy T Sullenberger, PNP
1 Childrens Plz,
Dayton, OH 45404-1815

Ph: (937) 641-3555		Stacy T Sullenberger, PNP
915 Michigan St,
Sidney, OH 45365-2401

Ph: (937) 498-4488

Reviews and Comments


Nurse Practitioner Nurses in Sidney, OH

Mrs. Kathryn Elizabeth Rosenbeck, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 915 Michigan St Ste 200, Sidney, OH 45365
Phone: 937-498-4880    Fax: 937-494-5295
Dr. Donald Todd Smith, PHD RN AGACNP-BC NPC
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Medicare: Accepting Medicare Assignments
Practice Location: 915 Michigan St, Sidney, OH 45365
Phone: 937-498-2311    
Lisa A Monroe, NP
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Practice Location: 823 Michigan St Bldg A, Sidney, OH 45365
Phone: 937-498-5334    Fax: 937-494-5914
Kelly K Debrosse, APRN-CNP
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Medicare: Medicare Enrolled
Practice Location: 915 Michigan St Ste 201, Sidney, OH 45365
Phone: 937-498-5373    Fax: 937-498-5377
Mrs. Abigail L Fischer, CPNP AC PC
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Medicare: Medicare Enrolled
Practice Location: 915 Michigan St Ste 200, Sidney, OH 45365
Phone: 937-498-5513    Fax: 937-497-5674
Mrs. Janell Marie Meyer, DNP, FNP
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Medicare: Medicare Enrolled
Practice Location: 1529 Fair Rd Ste 110, Sidney, OH 45365
Phone: 937-710-4242    

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).

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