Sally J Collodi-swart, AARN is a medicare enrolled "Nurse Practitioner - Family" in Port St Lucie Blvd, Florida. Her current practice location is
1900 Se Port St Lucie Blvd, Port St Lucie Blvd, Florida. You can reach out to her office (for appointments etc.) via phone at
(772) 398-4780.
Sally J Collodi-swart is licensed to practice in Florida (license number RN833182) 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 1396851622.
Provider's Profile
Full Name | Sally J Collodi-swart |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1900 Se Port St Lucie Blvd, Port St Lucie Blvd, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396851622
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 02/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284791583
- Enrollment ID: I20090331000225
Medical Identifiers
Medical identifiers for Sally J Collodi-swart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396851622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN833182 (Florida) | 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. Sally J Collodi-swart allows following entities to bill medicare on her behalf.
Entity Name | East Florida Carenow Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063954790 PECOS PAC ID: 2163705336 Enrollment ID: O20170214000360 |
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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. Sally J Collodi-swart 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 |
Sally J Collodi-swart, AARN 1900 Se Port St Lucie Blvd, Physicians Immediate Care Inc, Port St Lucie, FL 34952 Ph: (772) 398-4780 | Sally J Collodi-swart, AARN 1900 Se Port St Lucie Blvd, Port St Lucie Blvd, FL 34951 Ph: (772) 398-4780 |
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