Stayce K Sullivan, - Medicare Nurse Practitioner in San Rafael, CA

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Stayce K Sullivan, is a medicare enrolled "Nurse Practitioner - Acute Care" in San Rafael, California. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Omar Osman Practice, Llc and her current practice location is 515 Northgate Dr., Ste. 101, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 202-9990.

Stayce K Sullivan is licensed to practice in California (license number 95012073) 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 1770139123.

Contact Information

Stayce K Sullivan,
515 Northgate Dr., Ste. 101,
San Rafael, CA 94903-9490
(415) 202-9990
(415) 202-0102

Map and Direction




Provider's Profile

Full NameStayce K Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location515 Northgate Dr., San Rafael, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stayce K Sullivan graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1770139123
  • Provider Enumeration Date: 08/12/2019
  • Last Update Date: 08/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6103245337
  • Enrollment ID: I20201007001463

Medical Identifiers

Medical identifiers for Stayce K Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770139123NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95012073 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Omar Osman Practice, Llc438501404245

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. Stayce K Sullivan allows following entities to bill medicare on her behalf.
Entity NameOmar Osman Practice, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669192472
PECOS PAC ID: 4385014042
Enrollment ID: O20221221002873
Entity NamePost Acute Rehabilitation Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023781028
PECOS PAC ID: 7214334614
Enrollment ID: O20230103001459

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. Stayce K 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 AddressPractice Location Address
Stayce K Sullivan,
42 Grande Paseo,
San Rafael, CA 94903-1546

Ph: (509) 995-7310		Stayce K Sullivan,
515 Northgate Dr., Ste. 101,
San Rafael, CA 94903-9490

Ph: (415) 202-9990

Reviews and Comments


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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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