Sandra Tate, APN, PMNCNS-BC - Medicare Clinical Nurse Specialist in Marion, IL

  1. Home
  2. Clinical Nurse Specialist
  3. IL
  4. Marion
Sandra Tate, APN, PMNCNS-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Marion, Illinois. Her current practice location is 3412 Office Park Dr, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 292-9999.

Sandra Tate is licensed to practice in Illinois (license number 277000849) 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 1326093493.

Contact Information

Sandra Tate, APN, PMNCNS-BC
3412 Office Park Dr,
Marion, IL 62959-6477
(618) 292-9999
(618) 551-2757

Map and Direction




Provider's Profile

Full NameSandra Tate
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent
Location3412 Office Park Dr, Marion, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326093493
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 01/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577518455
  • Enrollment ID: I20050314000599

Medical Identifiers

Medical identifiers for Sandra Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326093493NPI-NPPES
CG2264OtherILRR GROUP NUMBER
207988OtherILGROUP
P00220754OtherILRR MEDICARE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 277-000849 (Illinois)Secondary
364SP0807XClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent 277000849 (Illinois)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 Tate allows following entities to bill medicare on her behalf.
Entity NameSalem Township Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295739548
PECOS PAC ID: 0840195277
Enrollment ID: O20031126000688
Entity NameWashington County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659321560
PECOS PAC ID: 4880599844
Enrollment ID: O20031209000278
Entity NameMarshall Browning Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821099441
PECOS PAC ID: 9335049980
Enrollment ID: O20040226000868
Entity NameCommunity Resource Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386605434
PECOS PAC ID: 8224050638
Enrollment ID: O20051229000256

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 Tate 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
Sandra Tate, APN, PMNCNS-BC
1601 Medlin Rd,
Centralia, IL 62801-9531

Ph: (618) 292-9999		Sandra Tate, APN, PMNCNS-BC
3412 Office Park Dr,
Marion, IL 62959-6477

Ph: (618) 292-9999

Reviews and Comments


Clinical Nurse Specialist Nurses in Marion, IL

Ms. Danneille C Trujillo-hansen, APRNBC
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1506 Sioux Dr, Marion, IL 62959
Phone: 618-997-5270    Fax: 618-997-5029

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.