Andrea Sabdull, is a medicare enrolled "Counselor - Mental Health" in Melbourne, Florida. Her current practice location is
400 E Sheridan Rd, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 722-5200.
Andrea Sabdull is licensed to practice in Florida (license number ) 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 1790409829.
Provider's Profile
| Full Name | Andrea Sabdull |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 400 E Sheridan Rd, Melbourne, Florida |
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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: 1790409829
- Provider Enumeration Date: 10/03/2022
- Last Update Date: 01/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183000698
- Enrollment ID: I20221007000125
Medical Identifiers
Medical identifiers for Andrea Sabdull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790409829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11022159 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Florida) | 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. Andrea Sabdull allows following entities to bill medicare on her behalf.
| Entity Name | Coastal Psychiatric Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689231110
PECOS PAC ID: 3678801644
Enrollment ID: O20190829000196 |
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| Entity Name | Glomar Medical Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053913095
PECOS PAC ID: 0244644862
Enrollment ID: O20210122000268 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Andrea Sabdull 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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Andrea Sabdull,
400 E Sheridan Rd,
Melbourne, FL 32901-3184
Ph: (321) 722-5200 | Andrea Sabdull,
400 E Sheridan Rd,
Melbourne, FL 32901-3184
Ph: (321) 722-5200 |
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