Nicole A Sandberg, MSN-PMHNP - Medicare Nurse Practitioner in Stony Brook, NY

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Nicole A Sandberg, MSN-PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stony Brook, New York. Her current practice location is 101 Nicolls Rd, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 638-1575.

Nicole A Sandberg is licensed to practice in New York (license number 401946) 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 1639546336.

Contact Information

Nicole A Sandberg, MSN-PMHNP
101 Nicolls Rd,
Stony Brook, NY 11794-0001
(631) 638-1575
Not Available

Map and Direction




Provider's Profile

Full NameNicole A Sandberg
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location101 Nicolls Rd, Stony Brook, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639546336
  • Provider Enumeration Date: 08/28/2015
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547567661
  • Enrollment ID: I20160404001846

Medical Identifiers

Medical identifiers for Nicole A Sandberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639546336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 660968 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 401946 (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. Nicole A Sandberg allows following entities to bill medicare on her behalf.
Entity NameStony Brook Psychiatric Associates University Faculty Practice Corpor
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105905
PECOS PAC ID: 7315836731
Enrollment ID: O20040313000174
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Nicole A Sandberg 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
Nicole A Sandberg, MSN-PMHNP
101 Nicolls Rd,
Stony Brook, NY 11794-0001

Ph: (631) 638-1575		Nicole A Sandberg, MSN-PMHNP
101 Nicolls Rd,
Stony Brook, NY 11794-0001

Ph: (631) 638-1575

Reviews and Comments


Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-631-4449    
Mr. Sam Tarik Mendoune I, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-335-1657    
Kevin Ramdeen, AGPCNP
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Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-312-6354    
Mrs. Patricia B Meyer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1212 Route 25a, Stony Brook, NY 11790
Phone: 631-941-1388    Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Stadium Road, Stony Brook, NY 11794
Phone: 631-632-6738    Fax: 631-632-6936
Michael Christopher Parrinello, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Suny At Stony Brk, Stony Brook, NY 11794
Phone: 631-444-2701    
Mrs. Joanne M Camarda, PNP
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Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794
Phone: 631-444-7720    Fax: 631-444-7865

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.