Katrina Sullivan, PA - Medicare Physician Assistant in Dallas, TX

Katrina Sullivan, PA is a medicare enrolled "Physician Assistant" in Dallas, Texas. Her current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 648-3916.

Katrina Sullivan is licensed to practice in Texas (license number PA10008) 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 1013397447.

Contact Information

Katrina Sullivan, PA
5323 Harry Hines Blvd,
Dallas, TX 75390-7208
(214) 648-3916
(214) 648-8423



Provider's Profile

Full NameKatrina Sullivan
GenderFemale
SpecialityPhysician Assistant
Location5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013397447
  • Provider Enumeration Date: 06/01/2015
  • Last Update Date: 07/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9739496746
  • Enrollment ID: I20150923000922

Medical Identifiers

Medical identifiers for Katrina Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013397447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant PA10008 (Texas)Primary

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. Katrina 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
Katrina Sullivan, PA
Po Box 845347,
Dallas, TX 75284-5347

Ph: (214) 648-3916
Katrina Sullivan, PA
5323 Harry Hines Blvd,
Dallas, TX 75390-7208

Ph: (214) 648-3916

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› Verified 5 days ago


Physician Assistant Nurses in Dallas, TX

Mrs. Tanya Marie Pletin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-6400    Fax: 214-648-5461
Ms. Ambreen Feroz Ali Nadeem, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11910 Greenville Ave, 500, Dallas, TX 75243
Phone: 214-343-0058    
Alyssa R Spiegel, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9101 N Central Expy Ste 160, Dallas, TX 75231
Phone: 214-265-1818    Fax: 214-265-1806
Cassie Ann Laurence, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1935 Medical District Dr, Dallas, TX 75235
Phone: 214-456-7000    
Mallory Michelle Taylor, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9301 N Central Expy Ste 500, Dallas, TX 75231
Phone: 214-220-2468    Fax: 214-720-1982
Ryan D'cunha, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-645-2225    
Marlen Vanessa Piersall, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Inwood Rd, Dallas, TX 75235
Phone: 214-654-2900    

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