Sarah Chisholm Southard, ANP is a medicare enrolled "Surgery" in Portland, Maine. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Hospital and her current practice location is
22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 662-0111.
Sarah Chisholm Southard is licensed to practice in Maine (license number CNP181213) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497078299.
Provider's Profile
| Full Name | Sarah Chisholm Southard |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 22 Bramhall St, Portland, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sarah Chisholm Southard graduated from nursing school in 2005
NPI Data:
- NPI Number: 1497078299
- Provider Enumeration Date: 03/08/2010
- Last Update Date: 07/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850629148
- Enrollment ID: I20190823002922
Medical Identifiers
Medical identifiers for Sarah Chisholm Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497078299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN264145 (Massachusetts) | Secondary |
| 208600000X | Surgery | CNP181213 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Hospital | 6103737812 | 250 |
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. Sarah Chisholm Southard allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629078712
PECOS PAC ID: 6103737812
Enrollment ID: O20040217000943 |
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| Entity Name | Maine Medical Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285738310
PECOS PAC ID: 9335043967
Enrollment ID: O20040525000396 |
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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. Sarah Chisholm Southard 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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Sarah Chisholm Southard, ANP
22 Bramhall St,
Portland, ME 04102-3175
Ph: (207) 662-0111 | Sarah Chisholm Southard, ANP
22 Bramhall St,
Portland, ME 04102-3175
Ph: (207) 662-0111 |
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