Dr Sandra Jean Hughes, MD - Medicare Pediatrics in Tuckahoe, NY

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Dr Sandra Jean Hughes, MD is a medicare enrolled "Pediatrics" physician in Tuckahoe, New York. Her current practice location is 115 Main St Ste 301, Tuckahoe, New York. You can reach out to her office (for appointments etc.) via phone at (914) 771-7070.

Dr Sandra Jean Hughes is licensed to practice in New York (license number 249465) 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 1124295159.

Contact Information

Dr Sandra Jean Hughes, MD
115 Main St Ste 301,
Tuckahoe, NY 10707-2949
(914) 771-7070
(914) 771-7073

Map and Direction




Physician's Profile

Full NameDr Sandra Jean Hughes
GenderFemale
SpecialityPediatrics
Location115 Main St Ste 301, Tuckahoe, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124295159
  • Provider Enumeration Date: 05/08/2008
  • Last Update Date: 04/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375805419
  • Enrollment ID: I20180329000953

Medical Identifiers

Medical identifiers for Dr Sandra Jean Hughes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124295159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 249465 (New York)Primary

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. Dr Sandra Jean Hughes allows following entities to bill medicare on her behalf.
Entity NameRefuah Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669470019
PECOS PAC ID: 4880584416
Enrollment ID: O20040317001392
Entity NamePark Avenue Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699969543
PECOS PAC ID: 6507010592
Enrollment ID: O20130128000388

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. Dr Sandra Jean Hughes 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
Dr Sandra Jean Hughes, MD
90 N Grant Ave,
Congers, NY 10920-1935

Ph: (910) 393-9190		Dr Sandra Jean Hughes, MD
115 Main St Ste 301,
Tuckahoe, NY 10707-2949

Ph: (914) 771-7070

Reviews and Comments


Pediatrics Doctors in Tuckahoe, NY

Jessica Sessions, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 115 Main St Ste 301, Tuckahoe, NY 10707
Phone: 914-771-7070    Fax: 914-771-7073
Manju Malhotra, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Elm St, Tuckahoe, NY 10707
Phone: 914-337-7474    Fax: 914-961-0058
Kerry A Purtill, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Elm St, Tuckahoe, NY 10707
Phone: 914-337-7474    Fax: 914-961-0058
Dr. Heather A. Mcgowan, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 115 Main Street, Suite 301, Tuckahoe, NY 10707
Phone: 914-771-7070    Fax: 914-771-7073

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.