Sandra Lee Mctavish, CNP in Saint Paul, MN - Medicare Nurse Practitioner

Sandra Lee Mctavish, CNP is a medicare enrolled "Nurse Practitioner" in Saint Paul, Minnesota. Her current practice location is 1690 University Ave W, Suite 460, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 232-2002.

Sandra Lee Mctavish is licensed to practice in Minnesota (license number R125328-3) 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 1023070299.

Contact Information

	Sandra Lee Mctavish, CNP
	1690 University Ave W, Suite 460, Saint Paul, MN 55104-3723
	(651) 232-2002
	(651) 232-2031

Map and Direction

Provider's Profile

Full Name	Sandra Lee Mctavish
Gender	Female
Speciality	Nurse Practitioner
Location	1690 University Ave W, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023070299
Provider Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7911930755
Enrollment ID: I20050913000855

Medical Identifiers

Medical identifiers for Sandra Lee Mctavish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023070299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R125328-3 (Minnesota)	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. Sandra Lee Mctavish allows following entities to bill medicare on her behalf.

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

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. Sandra Lee Mctavish 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
Sandra Lee Mctavish, CNP 1690 University Ave W, Suite 460, Saint Paul, MN 55104-3723 Ph: (651) 232-2002	Sandra Lee Mctavish, CNP 1690 University Ave W, Suite 460, Saint Paul, MN 55104-3723 Ph: (651) 232-2002

Reviews and Comments

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Sandra Lee Mctavish, CNP - Medicare Nurse Practitioner in Saint Paul, MN