Mrs Sandra Leanne Handysides, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Peshawbestown, Michigan. Her current practice location is
2300 N Stallman Rd, Peshawbestown, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 534-7200.
Mrs Sandra Leanne Handysides is licensed to practice in Michigan (license number 4704336431) 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 1003197583.
Provider's Profile
Full Name | Mrs Sandra Leanne Handysides |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2300 N Stallman Rd, Peshawbestown, Michigan |
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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: 1003197583
- Provider Enumeration Date: 08/29/2011
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264811397
- Enrollment ID: I20220621002366
Medical Identifiers
Medical identifiers for Mrs Sandra Leanne Handysides such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003197583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 20915 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704336431 (Michigan) | 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. Mrs Sandra Leanne Handysides allows following entities to bill medicare on her behalf.
Entity Name | Grand Traverse Band Of Ottawa And Chippewa Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134281132 PECOS PAC ID: 5193792067 Enrollment ID: O20040911000198 |
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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. Mrs Sandra Leanne Handysides 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 |
Mrs Sandra Leanne Handysides, RN, FNP 10406 Deerpath N, Traverse City, MI 49685-9094 Ph: (909) 954-8800 | Mrs Sandra Leanne Handysides, RN, FNP 2300 N Stallman Rd, Peshawbestown, MI 49682-9158 Ph: (231) 534-7200 |
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