Sara Haynes Perry, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Plymouth, Minnesota. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrated Wound Care Minnesota Pllc, Integrated Wound Care Management Wisconsin Llc and her current practice location is
4140 County Road 101 N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 478-4612.
Sara Haynes Perry is licensed to practice in Minnesota (license number 8280) 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 1699443424.
Physician's Profile
Full Name | Sara Haynes Perry |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 4140 County Road 101 N, Plymouth, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sara Haynes Perry graduated from medical school in 2021
NPI Data:
- NPI Number: 1699443424
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 11/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971996844
- Enrollment ID: I20220217001511
Medical Identifiers
Medical identifiers for Sara Haynes Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699443424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 8280 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8280 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Integrated Wound Care Minnesota Pllc | 2769722511 | 13 |
Integrated Wound Care Management Wisconsin Llc | 3375976038 | 5 |
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. Sara Haynes Perry allows following entities to bill medicare on her behalf.
Entity Name | Minuteclinic Diagnostic Of Minnesota Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184 |
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Entity Name | Integrated Wound Care Minnesota Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205390457 PECOS PAC ID: 2769722511 Enrollment ID: O20190314001268 |
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Entity Name | Rivertown Medical Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447985171 PECOS PAC ID: 8729463294 Enrollment ID: O20220920000644 |
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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. Sara Haynes Perry 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 |
Sara Haynes Perry, APRN 732 8th Ave, Two Harbors, MN 55616-1312 Ph: (218) 340-6525 | Sara Haynes Perry, APRN 4140 County Road 101 N, Plymouth, MN 55446-2308 Ph: (763) 478-4612 |
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