Heidi Sistare, is a medicare enrolled "Social Worker - Clinical" provider in Portland, Maine. Her current practice location is
180 Park Ave, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 874-2141.
Heidi Sistare is licensed to practice in Vermont (license number 089.0134405) 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 1154830073.
Healthcare Provider's Profile
| Full Name | Heidi Sistare |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 180 Park Ave, Portland, Maine |
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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: 1154830073
- Provider Enumeration Date: 09/22/2017
- Last Update Date: 05/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517205610
- Enrollment ID: I20190215000826
Medical Identifiers
Medical identifiers for Heidi Sistare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154830073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC6285 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC17651 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0134405 (Vermont) | 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. Heidi Sistare allows following entities to bill medicare on her behalf.
| Entity Name | Spurwink Services Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760507297
PECOS PAC ID: 7810026945
Enrollment ID: O20100527000272 |
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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. Heidi Sistare 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 |
|---|
Heidi Sistare,
215 N Main St,
White River Junction, VT 05009-0001
Ph: () - | Heidi Sistare,
180 Park Ave,
Portland, ME 04102-2957
Ph: (207) 874-2141 |
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