Sophia L Barnes, CRNP - Medicare Nurse Practitioner in Decatur, AL

Sophia L Barnes, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Alabama. Her current practice location is 1222 Somerville Rd Se, Decatur, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 341-0152.

Sophia L Barnes is licensed to practice in Alabama (license number 1-127529) 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 1316369275.

Contact Information

Sophia L Barnes, CRNP
1222 Somerville Rd Se,
Decatur, AL 35601-4351
(256) 341-0152
(256) 341-0587

Map and Direction




Provider's Profile

Full NameSophia L Barnes
GenderFemale
SpecialityNurse Practitioner - Family
Location1222 Somerville Rd Se, Decatur, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316369275
  • Provider Enumeration Date: 01/13/2014
  • Last Update Date: 06/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8527385228
  • Enrollment ID: I20150317001947

Medical Identifiers

Medical identifiers for Sophia L Barnes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316369275NPI-NPPES
167833MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-127529 (Alabama)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. Sophia L Barnes allows following entities to bill medicare on her behalf.
Entity NameSleep & Pulmonary Care Center, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346406469
PECOS PAC ID: 5799850731
Enrollment ID: O20080826000497

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. Sophia L Barnes 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
Sophia L Barnes, CRNP
Po Box 1684,
Decatur, AL 35602-1684

Ph: (256) 341-0152
Sophia L Barnes, CRNP
1222 Somerville Rd Se,
Decatur, AL 35601-4351

Ph: (256) 341-0152

Reviews and Comments


Nurse Practitioner Nurses in Decatur, AL

Charles Edward Fortenberry, R.N.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1103 16th Ave Se, Decatur, AL 35601
Phone: 256-350-0362    
Mrs. Natalie Mccay, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2941 Point Mallard Pkwy Se, Suite N, Decatur, AL 35603
Phone: 256-432-2822    Fax: 256-432-2825
Heather R Carter, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1350 14th Ave Se, Decatur, AL 35601
Phone: 256-355-6911    
Mrs. Kami Elizabeth Whorton, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1874 Beltline Rd Sw, Decatur, AL 35601
Phone: 256-301-3207    
Ranjanben B Patel,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1310 14th Ave Se, Decatur, AL 35601
Phone: 256-705-4224    Fax: 256-705-4135
Megan Lynn Sanford, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2422 Danville Rd Sw Ste E, Decatur, AL 35603
Phone: 256-355-9040    Fax: 256-355-9048
Kimberly Lee Randolph, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2205 Beltline Rd Sw, Decatur, AL 35601
Phone: 256-306-4000    

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.