Dr Sandra E Kapsalis, MD - Medicare Pediatrics in Essex Jct, VT

Dr Sandra E Kapsalis, MD is a medicare enrolled "Pediatrics" physician in Essex Jct, Vermont. Her current practice location is 89 Main St, Essex Jct, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 879-6556.

Dr Sandra E Kapsalis is licensed to practice in Vermont (license number 042-000-9859) 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 1497743827.

Contact Information

Dr Sandra E Kapsalis, MD
89 Main St,
Essex Jct, VT 05452-3207
(802) 879-6556
(802) 872-8021

Map and Direction




Physician's Profile

Full NameDr Sandra E Kapsalis
GenderFemale
SpecialityPediatrics
Location89 Main St, Essex Jct, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497743827
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 05/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042229320
  • Enrollment ID: I20060413000715

Medical Identifiers

Medical identifiers for Dr Sandra E Kapsalis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497743827NPI-NPPES
OVN1999MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 042-000-9859 (Vermont)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 Sandra E Kapsalis allows following entities to bill medicare on her behalf.
Entity NameEssex Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104925817
PECOS PAC ID: 8527211341
Enrollment ID: O20130103000341

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 Sandra E Kapsalis 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
Dr Sandra E Kapsalis, MD
89 Main St,
Essex Jct, VT 05452-3207

Ph: (802) 879-6556
Dr Sandra E Kapsalis, MD
89 Main St,
Essex Jct, VT 05452-3207

Ph: (802) 879-6556

Reviews and Comments


Pediatrics Doctors in Essex Jct, VT

Dr. Paul Mclane Costello, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 89 Main St, Essex Jct, VT 05452
Phone: 802-879-6556    Fax: 802-872-8021
Dr. David E Stifler, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 89 Main St, Essex Jct, VT 05452
Phone: 802-879-6556    Fax: 802-872-8021
Dr. Elizabeth H Jillson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 89 Main St, Essex Jct, VT 05452
Phone: 802-879-6556    Fax: 802-872-8021
Dr. Jerry Steven Hale, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 89 Main St, Essex Jct, VT 05452
Phone: 802-879-6556    Fax: 802-872-8021
Meredith Davies Monahan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 89 Main St, Essex Jct, VT 05452
Phone: 802-879-6556    Fax: 802-872-8021

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.