Mary Kathleen Sullivan, DNP, FNP, RN - Medicare Nurse Practitioner in Germantown, TN

Mary Kathleen Sullivan, DNP, FNP, RN is a medicare enrolled "Nurse Practitioner - Primary Care" in Germantown, Tennessee. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Consolidated Medical Practices Of Memphis,pllc and her current practice location is 1920 Kirby Pkwy Ste 102, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 334-5464.

Mary Kathleen Sullivan is licensed to practice in Tennessee (license number APN 12894) 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 1053735282.

Contact Information

Mary Kathleen Sullivan, DNP, FNP, RN
1920 Kirby Pkwy Ste 102,
Germantown, TN 38138-3654
(901) 334-5464
(901) 334-5466



Provider's Profile

Full NameMary Kathleen Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location1920 Kirby Pkwy Ste 102, Germantown, Tennessee
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:
  • Mary Kathleen Sullivan graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1053735282
  • Provider Enumeration Date: 02/07/2014
  • Last Update Date: 09/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1052537685
  • Enrollment ID: I20140717000287

Medical Identifiers

Medical identifiers for Mary Kathleen Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053735282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care APN 12894 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Consolidated Medical Practices Of Memphis,pllc175945984563

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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. Mary Kathleen Sullivan allows following entities to bill medicare on her behalf.
Entity NameConsolidated Medical Practices Of Memphis,pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508027491
PECOS PAC ID: 1759459845
Enrollment ID: O20081002000198

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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. Mary Kathleen 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
Mary Kathleen Sullivan, DNP, FNP, RN
1920 Kirby Pkwy Ste 102,
Germantown, TN 38138-3654

Ph: (901) 334-5464
Mary Kathleen Sullivan, DNP, FNP, RN
1920 Kirby Pkwy Ste 102,
Germantown, TN 38138-3654

Ph: (901) 334-5464

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Nurse Practitioner Nurses in Germantown, TN

Lisa D Beasley, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138
Phone: 901-414-0017    
Christopher Gully, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1385 W Brierbrook Rd, Germantown, TN 38138
Phone: 901-390-2930    
Brenda S Cole, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138
Phone: 901-763-0200    Fax: 901-260-1713
Mrs. Mary K Simpson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7715 Wolf River Blvd, Germantown, TN 38138
Phone: 901-328-6031    Fax: 901-328-6035
Cynthia Denise Bedford, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7691 Poplar Ave, Germantown, TN 38138
Phone: 901-516-1290    Fax: 901-516-1220
Ashley Marsh, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138
Phone: 901-755-5300    Fax: 901-756-0196
Hannah Case, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6799 Great Oaks Rd Ste 105, Germantown, TN 38138
Phone: 901-821-8300    

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