Sage Nutrition And Healing Center is a medicare enrolled "Family Medicine" provider in Morganville, New Jersey. Their current practice location is
242 State Route 79 N Ste 8, Morganville, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(732) 443-0300.
Sage Nutrition And Healing Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sage Nutrition And Healing Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174998660.
Healthcare Provider's Profile
| Full Name | Sage Nutrition And Healing Center |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 242 State Route 79 N Ste 8, Morganville, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174998660
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466857347
- Enrollment ID: O20210817000674
Medical Identifiers
Medical identifiers for Sage Nutrition And Healing Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174998660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6626 (Colorado) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sage Nutrition And Healing Center acts as a billing entity for following providers:
| Provider Name | Ruppert Hawes |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1982655320
PECOS PAC ID: 1052583150
Enrollment ID: I20111014000283 |
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| Provider Name | Heather A Goldner |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1801229554
PECOS PAC ID: 6103044623
Enrollment ID: I20140826000873 |
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| Provider Name | Tasmin Lee Cordie |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1770529075
PECOS PAC ID: 3173425725
Enrollment ID: I20190213000021 |
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| Provider Name | Nikki Steidle |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1912425497
PECOS PAC ID: 4385076371
Enrollment ID: I20191113000151 |
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| Provider Name | Alkaben R Sheladia |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1528504149
PECOS PAC ID: 0244652329
Enrollment ID: I20200618000199 |
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| Provider Name | Anastasiya Desch |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1932778263
PECOS PAC ID: 1850788480
Enrollment ID: I20220428000958 |
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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. Sage Nutrition And Healing Center 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 Address | Practice Location Address |
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Sage Nutrition And Healing Center
242 State Route 79 N Ste 8,
Morganville, NJ 07751-2079
Ph: (732) 443-0300 | Sage Nutrition And Healing Center
242 State Route 79 N Ste 8,
Morganville, NJ 07751-2079
Ph: (732) 443-0300 |
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