Elise Mariam Sage, PNP - Medicare Nurse Practitioner in East Hartford, CT

Elise Mariam Sage, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in East Hartford, Connecticut. Her current practice location is 869 Forbes St, East Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 622-5343.

Elise Mariam Sage is licensed to practice in Connecticut (license number 12.005079) 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 1598048878.

Contact Information

Elise Mariam Sage, PNP
869 Forbes St,
East Hartford, CT 06118-1958
(860) 622-5343
Not Available

Map and Direction




Provider's Profile

Full NameElise Mariam Sage
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location869 Forbes St, East Hartford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598048878
  • Provider Enumeration Date: 09/23/2011
  • Last Update Date: 07/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4486962396
  • Enrollment ID: I20150925002059

Medical Identifiers

Medical identifiers for Elise Mariam Sage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598048878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 2268080 (Massachusetts)Secondary
363LP0200XNurse Practitioner - Pediatrics 12.005079 (Connecticut)Primary
163W00000XRegistered Nurse 10.107616 (Connecticut)Secondary
363LP0200XNurse Practitioner - Pediatrics 005079 (Connecticut)Secondary

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. Elise Mariam Sage allows following entities to bill medicare on her behalf.
Entity NameStaywell Health Care Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154342335
PECOS PAC ID: 6305750480
Enrollment ID: O20031113000374

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. Elise Mariam Sage 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
Elise Mariam Sage, PNP
80 Phoenix Ave 201,
Waterbury, CT 06702-1418

Ph: (203) 756-8021
Elise Mariam Sage, PNP
869 Forbes St,
East Hartford, CT 06118-1958

Ph: (860) 622-5343

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).

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.