Lillian Grace Sudduth, CRNP - Medicare Nurse Practitioner in Florence, AL

Lillian Grace Sudduth, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Florence, Alabama. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Riverbend Center For Mental Health and her current practice location is 635 W College St, Florence, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 768-7453.

Lillian Grace Sudduth is licensed to practice in Alabama (license number 1-175980) 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 1356961932.

Contact Information

Lillian Grace Sudduth, CRNP
635 W College St,
Florence, AL 35630-5313
(256) 768-7453
(256) 765-2036



Provider's Profile

Full NameLillian Grace Sudduth
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location635 W College St, Florence, Alabama
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:
  • Lillian Grace Sudduth graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1356961932
  • Provider Enumeration Date: 04/23/2020
  • Last Update Date: 08/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698168664
  • Enrollment ID: I20220216000118

Medical Identifiers

Medical identifiers for Lillian Grace Sudduth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356961932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 175980 (Alabama)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1-175980 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverbend Center For Mental Health65078210489

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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. Lillian Grace Sudduth allows following entities to bill medicare on her behalf.
Entity NameEastside Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770637910
PECOS PAC ID: 3577524362
Enrollment ID: O20041025000828

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Entity NameRiverbend Center For Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508822313
PECOS PAC ID: 6507821048
Enrollment ID: O20041124000245

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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. Lillian Grace Sudduth 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
Lillian Grace Sudduth, CRNP
635 W College St,
Florence, AL 35630-5313

Ph: (256) 764-3431
Lillian Grace Sudduth, CRNP
635 W College St,
Florence, AL 35630-5313

Ph: (256) 768-7453

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Nurse Practitioner Nurses in Florence, AL

Mrs. Diane Lee Kelley, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1276 North Locust Ave., First Floor Suite D, Florence, AL 35633
Phone: 931-766-7056    Fax: 931-766-7057
Kendra L Brown, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2612 Hough Rd, Florence, AL 35630
Phone: 256-275-3724    Fax: 877-441-0602
Cameron Patrick Henderson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1701 Veterans Dr, Florence, AL 35630
Phone: 256-629-1000    
Mrs. April Michelle Brooks, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 541 W. College St, 2400, Florence, AL 35630
Phone: 256-767-0081    Fax: 256-767-3077
Brittany Churchwell Gifford,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 541 W College St Ste 2400, Florence, AL 35630
Phone: 256-980-6999    
Mrs. Linda Juanita Haraway, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 635 W College St, Florence, AL 35630
Phone: 256-764-3431    Fax: 256-766-4672
Mrs. Robin Grimes Otte, M.S.N., C.R.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1751 Veterans Dr Ste 125, Florence, AL 35630
Phone: 256-766-0150    Fax: 256-764-4638

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