Sara Juanita Jumping Eagle, MD - Medicare Pediatrics in Ft. Yates, ND

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Sara Juanita Jumping Eagle, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Ft. Yates, North Dakota. Her current practice location is 10 N. River Rd., Fort Yates Ihs Hospital/clinic, Ft. Yates, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 854-3831.

Sara Juanita Jumping Eagle is licensed to practice in North Dakota (license number 11019) 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 1508865007.

Contact Information

Sara Juanita Jumping Eagle, MD
10 N. River Rd., Fort Yates Ihs Hospital/clinic,
Ft. Yates, ND 58538
(701) 854-3831
(701) 854-7399

Map and Direction




Physician's Profile

Full NameSara Juanita Jumping Eagle
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location10 N. River Rd., Ft. Yates, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508865007
  • Provider Enumeration Date: 07/18/2005
  • Last Update Date: 12/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7113950049
  • Enrollment ID: I20160531001602

Medical Identifiers

Medical identifiers for Sara Juanita Jumping Eagle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508865007NPI-NPPES
15044MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 11019 (North Dakota)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 Juanita Jumping Eagle allows following entities to bill medicare on her behalf.
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003963497
PECOS PAC ID: 7214825371
Enrollment ID: O20040309001203
Entity NameFort Yates Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609851039
PECOS PAC ID: 3678462744
Enrollment ID: O20040315001479

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 Juanita Jumping Eagle 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
Sara Juanita Jumping Eagle, MD
10 North River Road,
Fort Yates, ND 58538

Ph: (701) 854-3831		Sara Juanita Jumping Eagle, MD
10 N. River Rd., Fort Yates Ihs Hospital/clinic,
Ft. Yates, ND 58538

Ph: (701) 854-3831

Reviews and Comments



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.