Robert E Sapien, MD - Medicare Pediatrics in Albuquerque, NM

Robert E Sapien, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Albuquerque, New Mexico. His current practice location is 1 University Of Nm, Msc 11 6025, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 272-5062.

Robert E Sapien is licensed to practice in California (license number G61677) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245246842.

Contact Information

Robert E Sapien, MD
1 University Of Nm, Msc 11 6025,
Albuquerque, NM 87131-0001
(505) 272-5062
Not Available

Map and Direction




Physician's Profile

Full NameRobert E Sapien
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location1 University Of Nm, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245246842
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 10/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335138692
  • Enrollment ID: I20040511000852

Medical Identifiers

Medical identifiers for Robert E Sapien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245246842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 91-120 (New Mexico)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine G61677 (California)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. Robert E Sapien allows following entities to bill medicare on his behalf.
Entity NameBaychildrens Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922124866
PECOS PAC ID: 9436239878
Enrollment ID: O20080110000320

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. Robert E Sapien 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
Robert E Sapien, MD
800 Bradbury Dr Se Ste 116,
Albuquerque, NM 87106-4310

Ph: (505) 272-1476
Robert E Sapien, MD
1 University Of Nm, Msc 11 6025,
Albuquerque, NM 87131-0001

Ph: (505) 272-5062

Reviews and Comments


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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).

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