Amy Sullivan, in Manchester, TN - Medicare Speech-Language Pathologist Provider

Amy Sullivan, is a medicare enrolled "Speech-language Pathologist" provider in Manchester, Tennessee. Her current practice location is 811 Keylon St, Manchester, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 450-5150.

Amy Sullivan is licensed to practice in Tennessee (license number 2660) 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 1396389813.

Contact Information

	Amy Sullivan,
	811 Keylon St, Manchester, TN 37355-2413
	(931) 450-5150
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Sullivan
Gender	Female
Speciality	Speech-language Pathologist
Location	811 Keylon St, Manchester, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396389813
Provider Enumeration Date: 10/29/2019
Last Update Date: 10/29/2019

Medicare PECOS Information:

PECOS PAC ID: 5597282970
Enrollment ID: I20250508002701

Medical Identifiers

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

Identifier	Type	State	Issuer
1396389813	NPI	-	NPPES
2660	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2660 (Tennessee)	Primary

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. Amy Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Broad River Rehabilitation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902317589 PECOS PAC ID: 3375801350 Enrollment ID: O20250107004195

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. Amy 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
Amy Sullivan, 811 Keylon St, Manchester, TN 37355-2413 Ph: () -	Amy Sullivan, 811 Keylon St, Manchester, TN 37355-2413 Ph: (931) 450-5150

Reviews and Comments

Speech-Language Pathologist in Manchester, TN

Megan Ann Owens, MS., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 811 Keylon St, Manchester, TN 37355 Phone: 931-919-7928 Fax: 877-856-7133
Callie Marie Wolfe, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 550 Lexington Cir, Manchester, TN 37355 Phone: 731-609-4497
Mrs. Maggie Keele Millraney, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 852 Interstate Dr, Manchester, TN 37355 Phone: 931-728-5479
Ashley Harmon Layne, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 S Woodland St, Manchester, TN 37355 Phone: 931-728-5189 Fax: 931-728-5180

Amy Sullivan, - Medicare Speech-Language Pathologist in Manchester, TN