Sara Sundstrom, CDCES, MS, RDN, CDN is a medicare enrolled "Registered Nurse - Diabetes Educator" provider in Vancouver, Washington. Her current practice location is
2101 Ne 139th St Ste 460, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 487-2727.
Sara Sundstrom is licensed to practice in Washington (license number DI60798424) 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 1205472446.
Healthcare Provider's Profile
Full Name | Sara Sundstrom |
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Gender | Female |
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Speciality | Registered Nurse - Diabetes Educator |
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Location | 2101 Ne 139th St Ste 460, Vancouver, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205472446
- Provider Enumeration Date: 11/22/2019
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173957867
- Enrollment ID: I20200106002665
Medical Identifiers
Medical identifiers for Sara Sundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205472446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DI60798424 (Washington) | Secondary |
163WD0400X | Registered Nurse - Diabetes Educator | DI60798424 (Washington) | 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 Sundstrom allows following entities to bill medicare on her behalf.
Provider Name | Legacy Salmon Creek Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194 |
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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 Sundstrom 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 |
Sara Sundstrom, CDCES, MS, RDN, CDN Po Box 2077, Portland, OR 97208-2077 Ph: (503) 413-3900 | Sara Sundstrom, CDCES, MS, RDN, CDN 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 Ph: (360) 487-2727 |
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