Ms Gail A Sullivan, LMLP LCP - Medicare Psychologist in Gt Bend, KS

Ms Gail A Sullivan, LMLP LCP is a medicare enrolled "Psychologist" provider in Gt Bend, Kansas. Her current practice location is 5815 Broadway, Gt Bend, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 792-2544.

Ms Gail A Sullivan is licensed to practice in Kansas (license number 776) 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 1538287560.

Contact Information

Ms Gail A Sullivan, LMLP LCP
5815 Broadway,
Gt Bend, KS 67530
(620) 792-2544
(620) 792-7052



Healthcare Provider's Profile

Full NameMs Gail A Sullivan
GenderFemale
SpecialityPsychologist
Location5815 Broadway, Gt Bend, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538287560
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7618326091
  • Enrollment ID: I20231211001661

Medical Identifiers

Medical identifiers for Ms Gail A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538287560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 776 (Kansas)Primary
103T00000XPsychologist 331 (Kansas)Secondary

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. Ms Gail A Sullivan allows following entities to bill medicare on her behalf.
Entity NameCenter For Counseling And Consultation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104862549
PECOS PAC ID: 2961458518
Enrollment ID: O20050325000690

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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. Ms Gail 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
Ms Gail A Sullivan, LMLP LCP
5815 Broadway,
Great Bend, KS 67530

Ph: (620) 792-2544
Ms Gail A Sullivan, LMLP LCP
5815 Broadway,
Gt Bend, KS 67530

Ph: (620) 792-2544

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Psychologist in Gt Bend, KS


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