Ms Sara Deborah Back, FNP MPH - Medicare Nurse Practitioner in Bronx, NY

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Ms Sara Deborah Back, FNP MPH is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 3424 Kossuth Ave, Rm #3h17, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 519-3631.

Ms Sara Deborah Back is licensed to practice in New York (license number F333271) 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 1104811991.

Contact Information

Ms Sara Deborah Back, FNP MPH
3424 Kossuth Ave, Rm #3h17,
Bronx, NY 10467-2410
(718) 519-3631
(718) 519-2034

Map and Direction




Provider's Profile

Full NameMs Sara Deborah Back
GenderFemale
SpecialityNurse Practitioner - Family
Location3424 Kossuth Ave, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104811991
  • Provider Enumeration Date: 09/17/2005
  • Last Update Date: 07/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7618152943
  • Enrollment ID: I20110429000379

Medical Identifiers

Medical identifiers for Ms Sara Deborah Back such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104811991NPI-NPPES
02108950MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F333271 (New York)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. Ms Sara Deborah Back allows following entities to bill medicare on her behalf.
Entity NameThe Institute For Family Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295729408
PECOS PAC ID: 9234048588
Enrollment ID: O20040417000313
Entity NameMission Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750898565
PECOS PAC ID: 2365705696
Enrollment ID: O20180418002058

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. Ms Sara Deborah Back 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
Ms Sara Deborah Back, FNP MPH
80 Lasalle St, 9c,
New York, NY 10027-4713

Ph: (212) 316-2445		Ms Sara Deborah Back, FNP MPH
3424 Kossuth Ave, Rm #3h17,
Bronx, NY 10467-2410

Ph: (718) 519-3631

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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