Bridget K Sullivan, LPMA in Berlin, VT - Medicare Psychologist Provider

Bridget K Sullivan, LPMA is a medicare enrolled "Psychologist" provider in Berlin, Vermont. Her current practice location is 174 Hospital Loop, Berlin, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 479-4083.

Bridget K Sullivan is licensed to practice in Vermont (license number 047.0133698) 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 1407580996.

Contact Information

	Bridget K Sullivan, LPMA
	174 Hospital Loop, Berlin, VT 05602-9105
	(802) 479-4083
	(802) 476-1476

Map and Direction

Healthcare Provider's Profile

Full Name	Bridget K Sullivan
Gender	Female
Speciality	Psychologist
Location	174 Hospital Loop, Berlin, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407580996
Provider Enumeration Date: 07/12/2022
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1557704277
Enrollment ID: I20240209002531

Medical Identifiers

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

Identifier	Type	State	Issuer
1407580996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	047.0133698 (Vermont)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

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. Bridget K Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Washington County Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922026996 PECOS PAC ID: 8123010121 Enrollment ID: O20040519000738

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. Bridget 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 Address	Practice Location Address
Bridget K Sullivan, LPMA 174 Hospital Loop, Berlin, VT 05602-9105 Ph: (802) 479-4083	Bridget K Sullivan, LPMA 174 Hospital Loop, Berlin, VT 05602-9105 Ph: (802) 479-4083

Reviews and Comments

Psychologist in Berlin, VT

Heidi Lynn Robbins, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476
Deborah E Iazzo, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Ste 1-6, Berlin, VT 05602 Phone: 802-223-9150 Fax: 802-223-9151
Karlin Clark, LPMA Psychologist Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667
Kay Elizabeth Barrett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Suite 1-6, Berlin, VT 05602 Phone: 802-253-7338
Mr. Laurance Thompson, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd Ste 1-6, Berlin, VT 05602 Phone: 802-272-5919 Fax: 802-223-7444
Ms. Amy L. Handy, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476

Bridget K Sullivan, LPMA - Medicare Psychologist in Berlin, VT