Dr Erin Sullivan-baca, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Plano, Texas. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Neurocognitive Specialty Group Pllc and her current practice location is
4601 Old Shepard Pl Ste 201, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at
(888) 606-0086.
Dr Erin Sullivan-baca is licensed to practice in Texas (license number 38638) 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 1174103758.
Healthcare Provider's Profile
| Full Name | Dr Erin Sullivan-baca |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 4601 Old Shepard Pl Ste 201, Plano, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Erin Sullivan-baca graduated from medical school in 2019
NPI Data:
- NPI Number: 1174103758
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 10/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062816663
- Enrollment ID: I20210804001069
Medical Identifiers
Medical identifiers for Dr Erin Sullivan-baca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174103758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 38638 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 38638 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Neurocognitive Specialty Group Pllc | 9133451297 | 10 |
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. Dr Erin Sullivan-baca allows following entities to bill medicare on her behalf.
| Entity Name | Neurocognitive Specialty Group PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346700275
PECOS PAC ID: 9133451297
Enrollment ID: O20191023001459 |
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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. Dr Erin Sullivan-baca 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 |
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Dr Erin Sullivan-baca, PHD
112 Magnolia Estates Dr,
League City, TX 77573-4613
Ph: (888) 606-0086 | Dr Erin Sullivan-baca, PHD
4601 Old Shepard Pl Ste 201,
Plano, TX 75093-5269
Ph: (888) 606-0086 |
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