Nicole R Sully, DO - Medicare Family Practice in Schnecksville, PA

Nicole R Sully, DO is a medicare enrolled "Family Medicine" physician in Schnecksville, Pennsylvania. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Lehigh Valley Physician Group and her current practice location is 4520 Park View Dr, Schnecksville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 799-4241.

Nicole R Sully is licensed to practice in Pennsylvania (license number OS013474) 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 1891813556.

Contact Information

Nicole R Sully, DO
4520 Park View Dr,
Schnecksville, PA 18078-2552
(610) 799-4241
(484) 403-4008



Physician's Profile

Full NameNicole R Sully
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location4520 Park View Dr, Schnecksville, Pennsylvania
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:
  • Nicole R Sully attended and graduated from Philadelphia College Of Osteopathic Medicine in 2004
  NPI Data:
  • NPI Number: 1891813556
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 08/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6800996802
  • Enrollment ID: I20070705000027

Medical Identifiers

Medical identifiers for Nicole R Sully such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891813556NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS013474 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley HospitalAllentown, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251231763

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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. Nicole R Sully allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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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. Nicole R Sully 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
Nicole R Sully, DO
1605 N Cedar Crest Blvd, Ste. 110b,
Allentown, PA 18104-2351

Ph: (610) 973-1410
Nicole R Sully, DO
4520 Park View Dr,
Schnecksville, PA 18078-2552

Ph: (610) 799-4241

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Family Medicine Doctors in Schnecksville, PA

Dr. Jack A Lenhart, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4520 Park View Dr, Schnecksville, PA 18078
Phone: 610-799-4241    Fax: 610-799-4244
Dr. Sean James Lewis, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4520 Park View Dr, Schnecksville, PA 18078
Phone: 610-799-4241    Fax: 484-403-4008
Breanna Henry, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4520 Park View Dr, Schnecksville, PA 18078
Phone: 610-799-4241    Fax: 484-403-4008
Dr. John D Farrell, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4520 Park View Dr, Schnecksville, PA 18078
Phone: 610-799-4241    Fax: 610-799-4244
Dr. Kenneth G Ryder, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4955 Route 873, Suite B, Schnecksville, PA 18078
Phone: 610-799-4100    Fax: 484-403-4014
Jeffrey Wells, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4520 Park View Dr, Schnecksville, PA 18078
Phone: 610-799-4241    Fax: 484-403-4008
Dr. Harvey B Passman, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4520 Park View Dr, Schnecksville, PA 18078
Phone: 610-799-4241    Fax: 484-403-4008

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