Mrs Sandra Louise Ulmer, DNP, FNP-BC in Lake Havasu City, AZ

Mrs Sandra Louise Ulmer, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Havasu City, Arizona. Her current practice location is 1840 Mesquite Ave Ste B, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 453-8500.

Mrs Sandra Louise Ulmer is licensed to practice in Arizona (license number 4136) 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 1912296211.

Contact Information

	Mrs Sandra Louise Ulmer, DNP, FNP-BC
	1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5771
	(928) 453-8500
	(928) 854-4229

Map and Direction

Provider's Profile

Full Name	Mrs Sandra Louise Ulmer
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1840 Mesquite Ave Ste B, Lake Havasu City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912296211
Provider Enumeration Date: 04/07/2011
Last Update Date: 03/30/2018

Medicare PECOS Information:

PECOS PAC ID: 2567633464
Enrollment ID: I20110926000910

Medical Identifiers

Medical identifiers for Mrs Sandra Louise Ulmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912296211	NPI	-	NPPES
627947	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	15710 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	4136 (Arizona)	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. Mrs Sandra Louise Ulmer allows following entities to bill medicare on her behalf.

Entity Name	Midwest Internal Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619019049 PECOS PAC ID: 7618952425 Enrollment ID: O20040623001525

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. Mrs Sandra Louise Ulmer 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
Mrs Sandra Louise Ulmer, DNP, FNP-BC 2981 Edgewood Dr, Lake Havasu City, AZ 86406-7007 Ph: (615) 429-2748	Mrs Sandra Louise Ulmer, DNP, FNP-BC 1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5771 Ph: (928) 453-8500

Reviews and Comments

Nurse Practitioner Nurses in Lake Havasu City, AZ

Blondena Unlia Miley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-453-1970 Fax: 855-538-3082
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185

Mrs Sandra Louise Ulmer, DNP, FNP-BC - Medicare Nurse Practitioner in Lake Havasu City, AZ