Melissa Sandoz, PLMHP - Medicare Counselor in South Sioux City, NE

Melissa Sandoz, PLMHP is a medicare enrolled "Counselor - Mental Health" provider in South Sioux City, Nebraska. Her current practice location is 1201 Arbor Dr, South Sioux City, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 494-3337.

Melissa Sandoz is licensed to practice in Nebraska (license number 12797) 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 1295498483.

Contact Information

Melissa Sandoz, PLMHP
1201 Arbor Dr,
South Sioux City, NE 68776-2652
(402) 494-3337
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMelissa Sandoz
GenderFemale
SpecialityCounselor - Mental Health
Location1201 Arbor Dr, South Sioux City, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295498483
  • Provider Enumeration Date: 10/15/2021
  • Last Update Date: 04/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426408485
  • Enrollment ID: I20240103002199

Medical Identifiers

Medical identifiers for Melissa Sandoz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295498483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 12797 (Nebraska)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. Melissa Sandoz allows following entities to bill medicare on her behalf.
Entity NameHeartland Counseling Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033292784
PECOS PAC ID: 0749262509
Enrollment ID: O20040604000284

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. Melissa Sandoz 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
Melissa Sandoz, PLMHP
Po Box 355,
South Sioux City, NE 68776-0355

Ph: () -
Melissa Sandoz, PLMHP
1201 Arbor Dr,
South Sioux City, NE 68776-2652

Ph: (402) 494-3337

Reviews and Comments


Counselor in South Sioux City, NE

Robyn L Watchorn Newbrey, LMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 625 E 39th St, South Sioux City, NE 68776
Phone: 402-494-0040    Fax: 402-494-0050
Lisa Bye,
Counselor
Medicare: Medicare Enrolled
Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776
Phone: 402-494-3337    Fax: 402-494-3356
Carol J Maker, PLMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 625 E 39th St, South Sioux City, NE 68776
Phone: 402-494-0040    Fax: 402-494-0050
Bradley A Rowe, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 917 W 21st St, South Sioux City, NE 68776
Phone: 402-494-3337    
Kelley J Polk, LIMHP,LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 625 E 39th St, South Sioux City, NE 68776
Phone: 402-494-0040    Fax: 402-494-0050
Mr. Gerald Lou Mayo Iii, MSW, PLMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 917 W 21st St, South Sioux City, NE 68776
Phone: 402-494-3337    Fax: 402-494-3356
Marit Westrich,
Counselor
Medicare: Medicare Enrolled
Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776
Phone: 402-494-3337    

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.