Dr Sabrina Marie Azavedo, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Elkhorn, Wisconsin. Her current practice location is
W3985 County Road Nn, Elkhorn, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 741-2121.
Dr Sabrina Marie Azavedo is licensed to practice in Wisconsin (license number ) 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 1780201145.
Physician's Profile
| Full Name | Dr Sabrina Marie Azavedo |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | W3985 County Road Nn, Elkhorn, Wisconsin |
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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: 1780201145
- Provider Enumeration Date: 07/01/2020
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698152304
- Enrollment ID: I20250115000886
Medical Identifiers
Medical identifiers for Dr Sabrina Marie Azavedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780201145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 0101274241 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | T-4138 (Mississippi) | Secondary |
| 208D00000X | General Practice | T-4138 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Wisconsin) | Primary |
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. Dr Sabrina Marie Azavedo 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 |
Dr Sabrina Marie Azavedo, MD 8101 Hinson Farm Rd Ste 219, Alexandria, VA 22306-3406 Ph: (503) 358-0995 | Dr Sabrina Marie Azavedo, MD W3985 County Road Nn, Elkhorn, WI 53121-4337 Ph: (262) 741-2121 |
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