Karen A Sullivan, CNM, FNP - Medicare Nurse Practitioner in Bangor, ME

Karen A Sullivan, CNM, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bangor, Maine. Her current practice location is 700 Mount Hope Ave, Suite 210, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 907-3030.

Karen A Sullivan is licensed to practice in Maine (license number CNP121054) 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 1245259134.

Contact Information

Karen A Sullivan, CNM, FNP
700 Mount Hope Ave, Suite 210,
Bangor, ME 04401-5691
(207) 907-3030
(207) 907-3031



Provider's Profile

Full NameKaren A Sullivan
GenderFemale
SpecialityNurse Practitioner - Family
Location700 Mount Hope Ave, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245259134
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 12/31/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7719971696
  • Enrollment ID: I20230123002722

Medical Identifiers

Medical identifiers for Karen A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245259134NPI-NPPES
404090099MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife CNM82012 (Maine)Secondary
363LF0000XNurse Practitioner - Family CNP121054 (Maine)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. Karen A Sullivan allows following entities to bill medicare on her behalf.
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

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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. Karen A 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 AddressPractice Location Address
Karen A Sullivan, CNM, FNP
700 Mount Hope Ave, Suite 210,
Bangor, ME 04401-5691

Ph: (207) 907-3030
Karen A Sullivan, CNM, FNP
700 Mount Hope Ave, Suite 210,
Bangor, ME 04401-5691

Ph: (207) 907-3030

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Nurse Practitioner Nurses in Bangor, ME

Diane M Hill, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Northeast Dr, Bangor, ME 04401
Phone: 207-275-3800    Fax: 207-275-3803
Nancy J Fishwick, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 30 Mckinley St, Bangor, ME 04401
Phone: 207-659-3690    
Kathrin G Hastey, FNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6 Telcom Dr, Bangor, ME 04401
Phone: 207-947-0147    Fax: 207-990-3365
Judy Splittgerber, PMHNP-BC, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401
Phone: 207-947-0147    
Ms. Constance E Russell, FNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401
Phone: 207-973-6100    Fax: 207-973-6109
Maegan L Woodman, FNPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401
Phone: 207-947-0147    Fax: 207-990-3365
Mrs. Alexandria Elizabeth Redmond,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 302 Husson Ave, #2, Bangor, ME 04401
Phone: 207-941-2373    Fax: 207-941-8803

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