Theresa M Sullivan, RN, CNS - Medicare Certified Clinical Nurse Specialist (cns) in Houston, TX

Theresa M Sullivan, RN, CNS is a medicare enrolled "Clinical Nurse Specialist" in Houston, Texas. She went to University Of Texas Medical School At Houston and graduated in 1988 and has 36 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Physicians Referral Service and her current practice location is 1515 Holcombe Blvd, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 792-6161.

Theresa M Sullivan is licensed to practice in Texas (license number 451121) 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 1063599009.

Contact Information

Theresa M Sullivan, RN, CNS
1515 Holcombe Blvd,
Houston, TX 77030-4009
(713) 792-6161
Not Available

Map and Direction




Provider's Profile

Full NameTheresa M Sullivan
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience36 Years
Location1515 Holcombe Blvd, Houston, Texas
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:
  • Theresa M Sullivan attended and graduated from University Of Texas Medical School At Houston in 1988
  NPI Data:
  • NPI Number: 1063599009
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 11/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1557542412
  • Enrollment ID: I20110224000788

Medical Identifiers

Medical identifiers for Theresa M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063599009NPI-NPPES
8N2898OtherTXBCBS
155840501MedicaidTX
890001203OtherTXRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist 451121 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Referral Service79118014102364

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. Theresa M Sullivan allows following entities to bill medicare on her behalf.
Entity NamePhysicians Referral Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953

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. Theresa M 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
Theresa M Sullivan, RN, CNS
Po Box 4439,
Houston, TX 77210-4439

Ph: (713) 792-2991
Theresa M Sullivan, RN, CNS
1515 Holcombe Blvd,
Houston, TX 77030-4009

Ph: (713) 792-6161

Reviews and Comments


Clinical Nurse Specialist Nurses in Houston, TX

Stephanie Quintero, MSN, APRN, AG CNS-BC
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 1515 Holcombe Blvd, Houston, TX 77030
Phone: 713-792-6161    
Amy Jean Wolford, A.P.N
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 14340 Torrey Chase Blvd, Suite 160, Houston, TX 77014
Phone: 281-580-8086    Fax: 281-580-7129
Cuong Thi Thanh Phan,
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 7401 Main St, Houston, TX 77030
Phone: 713-799-2300    Fax: 713-794-3380
Margaret A. Mcmartin, CNS-P/MH-LPA
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1311 Antoine Dr Apt 283, Houston, TX 77055
Phone: 713-208-0456    
Paula F. Demasi, RN, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Holcombe Blvd, Houston, TX 77030
Phone: 713-792-6161    
Martha Wimberly Oloomi, APRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2002 Holcombe Blvd, Sci/rehab/neuro Service Line, Houston, TX 77030
Phone: 281-980-0465    
Dona Marie Gambrel, APRN, BC
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 9401 Southwest Fwy, Houston, TX 77074
Phone: 713-448-6986    Fax: 713-448-5746

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.