Ms Fatemeh Sadry, APNP is a medicare enrolled "Nurse Practitioner - Family" in Shorewood, Wisconsin. Her current practice location is
3955 N Murray Ave Apt 104, Shorewood, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(215) 680-0673.
Ms Fatemeh Sadry is licensed to practice in Wisconsin (license number 15359-33) 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 1245042704.
Provider's Profile
| Full Name | Ms Fatemeh Sadry |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3955 N Murray Ave Apt 104, Shorewood, Wisconsin |
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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: 1245042704
- Provider Enumeration Date: 01/22/2025
- Last Update Date: 03/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305364647
- Enrollment ID: I20250520001452
Medical Identifiers
Medical identifiers for Ms Fatemeh Sadry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245042704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 15359-33 (Wisconsin) | 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. Ms Fatemeh Sadry allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Rehabilitation Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285942722
PECOS PAC ID: 8628253259
Enrollment ID: O20240522000518 |
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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. Ms Fatemeh Sadry 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 |
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Ms Fatemeh Sadry, APNP
3955 N Murray Ave Apt 104,
Shorewood, WI 53211-2323
Ph: (215) 680-0673 | Ms Fatemeh Sadry, APNP
3955 N Murray Ave Apt 104,
Shorewood, WI 53211-2323
Ph: (215) 680-0673 |
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