Dr Sally Hae-ryun Sartin, MD is a medicare enrolled "Family Medicine" physician in Rice, Washington. Her current practice location is
2048 Rickey Canyon Rd, Rice, Washington. You can reach out to her office (for appointments etc.) via phone at
(737) 307-1026.
Dr Sally Hae-ryun Sartin is licensed to practice in California (license number A105915) 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 1063699494.
Physician's Profile
| Full Name | Dr Sally Hae-ryun Sartin |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 2048 Rickey Canyon Rd, Rice, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063699494
- Provider Enumeration Date: 01/28/2008
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698964781
- Enrollment ID: I20230310002678
Medical Identifiers
Medical identifiers for Dr Sally Hae-ryun Sartin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063699494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 60396757 (Washington) | Secondary |
| 207Q00000X | Family Medicine | A105915 (California) | 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. Dr Sally Hae-ryun Sartin allows following entities to bill medicare on her behalf.
| Entity Name | Assure Health Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285252353
PECOS PAC ID: 3173990520
Enrollment ID: O20221027003181 |
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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. Dr Sally Hae-ryun Sartin 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 Sally Hae-ryun Sartin, MD
Po Box 897,
Kettle Falls, WA 99141-0897
Ph: (737) 307-1026 | Dr Sally Hae-ryun Sartin, MD
2048 Rickey Canyon Rd,
Rice, WA 99167-9753
Ph: (737) 307-1026 |
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