Sandra Lee Roberts, FNP is a medicare enrolled "Nurse Practitioner - Family" in Goldendale, Washington. Her current practice location is
310 S Roosevelt St, Goldendale, Washington. You can reach out to her office (for appointments etc.) via phone at
(407) 592-4001.
Sandra Lee Roberts is licensed to practice in Washington (license number AP61044272) 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 1083653836.
Provider's Profile
| Full Name | Sandra Lee Roberts |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 310 S Roosevelt St, Goldendale, Washington |
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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: 1083653836
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648226860
- Enrollment ID: I20050330000564
Medical Identifiers
Medical identifiers for Sandra Lee Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083653836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | ARNP 1571022 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NUR-RN-LIC 49096 (Montana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 903 (Alaska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP61044272 (Washington) | 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. Sandra Lee Roberts allows following entities to bill medicare on her behalf.
| Entity Name | Dhhs Ihs Colville Service Unit |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811091911 PECOS PAC ID: 0941302509 Enrollment ID: O20070228000304 |
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| Entity Name | Eastern Aleutian Tribes, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649332446 PECOS PAC ID: 2860301884 Enrollment ID: O20180413000684 |
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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. Sandra Lee Roberts 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 |
Sandra Lee Roberts, FNP 525 Mill St, Sheridan, MT 59749-9600 Ph: (074) 592-4001 | Sandra Lee Roberts, FNP 310 S Roosevelt St, Goldendale, WA 98620-9201 Ph: (407) 592-4001 |
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