Jenelle M Sullivan, PT - Physical Therapist in Jackson, WY

Jenelle M Sullivan, PT is a Physical Therapist based in Jackson, Wyoming. Jenelle M Sullivan is licensed to practice in Wyoming (license number PT-1097) and her current practice location is 1116 Maple Way, Jackson, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 733-7037.

NPI number for Jenelle M Sullivan is 1376601625 and her current mailing address is 1116 Maple Way, P.o. Box 9725, Jackson, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376601625.

Contact Information

Jenelle M Sullivan, PT
1116 Maple Way,
Jackson, WY 83002
(307) 733-7037
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJenelle M Sullivan
GenderFemale
SpecialityPhysical Therapist
Location1116 Maple Way, Jackson, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376601625
  • Provider Enumeration Date: 12/05/2006
  • Last Update Date: 10/07/2010

Medical Identifiers

Medical identifiers for Jenelle M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376601625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-1097 (Wyoming)Primary

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. Jenelle M Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jenelle M Sullivan, PT
1116 Maple Way, P.o. Box 9725,
Jackson, WY 83002

Ph: (307) 733-7037
Jenelle M Sullivan, PT
1116 Maple Way,
Jackson, WY 83002

Ph: (307) 733-7037

Reviews and Comments


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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.

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