Sara Tribble, CSWI is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. Her current practice location is
3340 Topaz St Ste 170, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 268-7604.
Sara Tribble is licensed to practice in Nevada (license number IC2050) 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 1760008122.
Healthcare Provider's Profile
Full Name | Sara Tribble |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3340 Topaz St Ste 170, Las Vegas, Nevada |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760008122
- Provider Enumeration Date: 06/22/2020
- Last Update Date: 10/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668997958
- Enrollment ID: I20250418002035
Medical Identifiers
Medical identifiers for Sara Tribble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760008122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | IC2050 (Nevada) | 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. Sara Tribble allows following entities to bill medicare on her behalf.
Entity Name | Theravada Mental Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114414109 PECOS PAC ID: 6608122882 Enrollment ID: O20181206000241 |
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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 Tribble 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 Tribble, CSWI 3340 Topaz St Ste 170, Las Vegas, NV 89121-3906 Ph: (702) 755-1183 | Sara Tribble, CSWI 3340 Topaz St Ste 170, Las Vegas, NV 89121-3906 Ph: (702) 268-7604 |
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