MARLENA SULLIVAN MD - NPI 1437739778 - Pediatrics in West Monroe, LA

Q: What is Marlena Sullivan's NPI number?

The NPI number for Marlena Sullivan is 1437739778. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Marlena Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Marlena Sullivan was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marlena Sullivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENA SULLIVAN MD (NPI 1437739778) is an individual pediatrics provider in West Monroe, Louisiana, licensed in Louisiana (341165) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1437739778

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARLENA SULLIVANCredential: MD

Location Address104 CONTEMPO AVEWest Monroe, LA 71291-5312

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (337) 807-1360 · Fax (225) 765-9196

Phone(337) 807-1360

Fax(337) 807-1364

Sole ProprietorNo

Enumeration DateApril 12, 2021

Last NPPES UpdateMay 24, 2024

NPPES CertifiedMay 24, 2024

✔ NPI 1437739778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in LA · 341165

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

104 CONTEMPO AVE, West Monroe, LA 71291

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Secondary Practice Location 1

Location 18300 Constantin BlvdBaton Rouge, LA 70809-3489 · Phone (225) 374-1316

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlena Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC CLINIC OF WEST MONROE

Pediatrics