Sandra Tate, APN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Marion, Illinois. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Marshall Browning Hospital Association, Salem Township Hospital, Washington County Hospital District and her current practice location is
3412 Office Park Dr, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 292-9999.
Sandra Tate is licensed to practice in Illinois (license number 277000849) 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 1326093493.
Provider's Profile
Full Name | Sandra Tate |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 24 Years |
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Location | 3412 Office Park Dr, Marion, Illinois |
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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:
- Sandra Tate graduated from nursing school in 2000
NPI Data:
- NPI Number: 1326093493
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 05/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577518455
- Enrollment ID: I20050314000599
Medical Identifiers
Medical identifiers for Sandra Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326093493 | NPI | - | NPPES |
CG2264 | Other | IL | RR GROUP NUMBER |
207988 | Other | IL | GROUP |
P00220754 | Other | IL | RR MEDICARE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209005279 (Illinois) | Secondary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 041290556 (Illinois) | Secondary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 277000849 (Illinois) | Secondary |
364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 277000849 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Marshall Browning Hospital Association | 9335049980 | 28 |
Salem Township Hospital | 0840195277 | 28 |
Washington County Hospital District | 4880599844 | 12 |
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 Tate allows following entities to bill medicare on her behalf.
Entity Name | Salem Township Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
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Entity Name | Washington County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659321560 PECOS PAC ID: 4880599844 Enrollment ID: O20031209000278 |
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Entity Name | Marshall Browning Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821099441 PECOS PAC ID: 9335049980 Enrollment ID: O20040226000868 |
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Entity Name | Community Resource Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386605434 PECOS PAC ID: 8224050638 Enrollment ID: O20051229000256 |
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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. Sandra Tate 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 Tate, APN Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Sandra Tate, APN 3412 Office Park Dr, Marion, IL 62959-6477 Ph: (618) 292-9999 |
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