Sandi Pino, MSN, CRNP, AGPCNP-BC in Plymouth Meeting, PA

Sandi Pino, MSN, CRNP, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Plymouth Meeting, Pennsylvania. Her current practice location is 2250 Hickory Rd Ste 140, Plymouth Meeting, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 379-2904.

Sandi Pino is licensed to practice in Pennsylvania (license number SP020359) 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 1043877897.

Contact Information

	Sandi Pino, MSN, CRNP, AGPCNP-BC
	2250 Hickory Rd Ste 140, Plymouth Meeting, PA 19462-1047
	(610) 379-2904
	(610) 840-0528

Map and Direction

Provider's Profile

Full Name	Sandi Pino
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2250 Hickory Rd Ste 140, Plymouth Meeting, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043877897
Provider Enumeration Date: 05/28/2019
Last Update Date: 07/14/2025

Medicare PECOS Information:

PECOS PAC ID: 4284042516
Enrollment ID: I20240918004474

Medical Identifiers

Medical identifiers for Sandi Pino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043877897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	SP020359 (Pennsylvania)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	SP020359 (Pennsylvania)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	SP020359 (Pennsylvania)	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. Sandi Pino allows following entities to bill medicare on her behalf.

Entity Name	Wellness Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649926049 PECOS PAC ID: 3971998717 Enrollment ID: O20220315000999

Entity Name	Medical Director Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20240105000107

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. Sandi Pino 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
Sandi Pino, MSN, CRNP, AGPCNP-BC Po Box 37492, Belfast, ME 04915-1216 Ph: (610) 379-2904	Sandi Pino, MSN, CRNP, AGPCNP-BC 2250 Hickory Rd Ste 140, Plymouth Meeting, PA 19462-1047 Ph: (610) 379-2904

Reviews and Comments

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Sandi Pino, MSN, CRNP, AGPCNP-BC - Medicare Nurse Practitioner in Plymouth Meeting, PA