Ms Sarah L Congleton, NP - Medicare Nurse Practitioner in East Greenwich, RI

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Ms Sarah L Congleton, NP is a medicare enrolled "Nurse Practitioner" in East Greenwich, Rhode Island. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc, Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 1351 S County Trl, Bldg 1, Suite 100, East Greenwich, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 886-5907.

Ms Sarah L Congleton is licensed to practice in Rhode Island (license number NPP37339) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003869561.

Contact Information

Ms Sarah L Congleton, NP
1351 S County Trl, Bldg 1, Suite 100,
East Greenwich, RI 02818-5079
(401) 886-5907
(401) 885-6071

Map and Direction




Provider's Profile

Full NameMs Sarah L Congleton
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location1351 S County Trl, East Greenwich, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Sarah L Congleton graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1003869561
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 09/05/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6406860980
  • Enrollment ID: I20060203000579

Medical Identifiers

Medical identifiers for Ms Sarah L Congleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003869561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NPP37339 (Rhode Island)Primary
163W00000XRegistered Nurse RN27508 (Rhode Island)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Specialists Pllc31738662411138
Hartford Healthcare Medical Group Specialists Pllc31738662411138

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 Sarah L Congleton allows following entities to bill medicare on her behalf.
Entity NameHopehealth Hospice & Palliative Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790851590
PECOS PAC ID: 4587659255
Enrollment ID: O20040420001030
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190603000922

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 Sarah L Congleton 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
Ms Sarah L Congleton, NP
1351 S County Trl, Bldg 1, Suite 100,
East Greenwich, RI 02818-5079

Ph: (401) 886-5907		Ms Sarah L Congleton, NP
1351 S County Trl, Bldg 1, Suite 100,
East Greenwich, RI 02818-5079

Ph: (401) 886-5907

Reviews and Comments


Nurse Practitioner Nurses in East Greenwich, RI

Lisa Pinkes, RNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1285 S County Trl, East Greenwich, RI 02818
Phone: 401-256-7573    
Miss Jessica Anne Butt, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1285 S County Trl, East Greenwich, RI 02818
Phone: 401-886-0902    
Lauren Chappell, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1351 S County Trl, East Greenwich, RI 02818
Phone: 401-398-0860    
Meighan Dingle Blanco, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3461 S County Trl, Suite 202, East Greenwich, RI 02818
Phone: 401-471-3376    Fax: 401-471-6865
Ms. Ingrid Leon, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1407 S County Trl Ste 430a, East Greenwich, RI 02818
Phone: 401-886-7910    Fax: 401-886-7913
Mrs. Jena Mcclure Richter, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1351 S County Trl Ste 115, East Greenwich, RI 02818
Phone: 401-884-0333    

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.