Mrs Sandra Ouellette, is a medicare enrolled "Registered Nurse - Critical Care Medicine" in Fairhaven, Massachusetts. Her current practice location is
200 Mill Rd Ste 120, Fairhaven, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 973-3200.
Mrs Sandra Ouellette is licensed to practice in Massachusetts (license number RN200112) 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 1699215665.
Provider's Profile
Full Name | Mrs Sandra Ouellette |
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Gender | Female |
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Speciality | Registered Nurse - Critical Care Medicine |
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Location | 200 Mill Rd Ste 120, Fairhaven, Massachusetts |
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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: 1699215665
- Provider Enumeration Date: 02/24/2017
- Last Update Date: 04/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779820535
- Enrollment ID: I20190201000254
Medical Identifiers
Medical identifiers for Mrs Sandra Ouellette such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699215665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | RN200112 (Massachusetts) | 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 Ouellette allows following entities to bill medicare on her behalf.
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
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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 Ouellette 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 Ouellette, 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 Ph: (508) 973-2000 | Mrs Sandra Ouellette, 200 Mill Rd Ste 120, Fairhaven, MA 02719-5252 Ph: (508) 973-3200 |
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