Mark Sullivan, - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, MS

Mark Sullivan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Mississippi. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center, Sweet Dreams Anesthesia Pllc and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-1000.

Mark Sullivan is licensed to practice in Mississippi (license number 901618) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134752371.

Contact Information

Mark Sullivan,
2500 N State St,
Jackson, MS 39216-4500
(601) 984-1000
Not Available



Provider's Profile

Full NameMark Sullivan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Sullivan graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1134752371
  • Provider Enumeration Date: 02/17/2020
  • Last Update Date: 02/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1658702204
  • Enrollment ID: I20200514001380

Medical Identifiers

Medical identifiers for Mark Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134752371NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 901618 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804
Sweet Dreams Anesthesia Pllc125475768514

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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. Mark Sullivan allows following entities to bill medicare on his behalf.
Entity NameLakeland Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358937
PECOS PAC ID: 0941102719
Enrollment ID: O20040122000612

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Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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Entity NameR&r Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114494796
PECOS PAC ID: 2163761339
Enrollment ID: O20190306000065

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Entity NameSweet Dreams Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427667724
PECOS PAC ID: 1254757685
Enrollment ID: O20200817002170

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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. Mark 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
Mark Sullivan,
147 Belle Pointe,
Madison, MS 39110-8287

Ph: () -
Mark Sullivan,
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-1000

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Nurse Anesthetist, Certified Registered Nurses in Jackson, MS

Emily Sumrall Childress, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Theresa Ann Davis, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Austin Grant Conn, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Mollie Harrell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Pfs, Jackson, MS 39216
Phone: 601-984-4619    
John Tyler Mclendon,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 601-376-1000    
James Walter Ishee, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Zachary Halliwell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 969 Lakeland Dr, Jackson, MS 39216
Phone: 601-200-2000    

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