Sara Collesides, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Coxsackie, New York. Her current practice location is
24 Lafayette Ave, Coxsackie, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 731-7777.
Sara Collesides is licensed to practice in New York (license number 350807) 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 1528767084.
Provider's Profile
| Full Name | Sara Collesides |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 24 Lafayette Ave, Coxsackie, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528767084
- Provider Enumeration Date: 02/23/2023
- Last Update Date: 02/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890169163
- Enrollment ID: I20230328002431
Medical Identifiers
Medical identifiers for Sara Collesides such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528767084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 350807 (New York) | 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. Sara Collesides allows following entities to bill medicare on her behalf.
| Entity Name | Columbia Memorial Regional Medical Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861072670
PECOS PAC ID: 2567865447
Enrollment ID: O20210729002761 |
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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. Sara Collesides 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 |
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Sara Collesides, NP
589 County Route 351,
Medusa, NY 12120-1803
Ph: (518) 542-3216 | Sara Collesides, NP
24 Lafayette Ave,
Coxsackie, NY 12051-1305
Ph: (518) 731-7777 |
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