Sandra Beaudouin, NP in Freeport, NY - Medicare Nurse Practitioner

Sandra Beaudouin, NP is a medicare enrolled "Nurse Practitioner - Family" in Freeport, New York. Her current practice location is 5 Meadow Ln, Freeport, New York. You can reach out to her office (for appointments etc.) via phone at (516) 974-6057.

Sandra Beaudouin is licensed to practice in New York (license number F341902-01) 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 1023667243.

Contact Information

	Sandra Beaudouin, NP
	5 Meadow Ln, Freeport, NY 11520-1002
	(516) 974-6057
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandra Beaudouin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5 Meadow Ln, Freeport, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023667243
Provider Enumeration Date: 09/10/2019
Last Update Date: 12/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3971937830
Enrollment ID: I20191231000545

Medical Identifiers

Medical identifiers for Sandra Beaudouin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023667243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F405339-01 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F341902-01 (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. Sandra Beaudouin allows following entities to bill medicare on her behalf.

Entity Name	Ahava Medical And Rehabilitation Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443

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. Sandra Beaudouin 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
Sandra Beaudouin, NP 5 Meadow Ln, Freeport, NY 11520-1002 Ph: (516) 974-6057	Sandra Beaudouin, NP 5 Meadow Ln, Freeport, NY 11520-1002 Ph: (516) 974-6057

Reviews and Comments

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Sandra Beaudouin, NP - Medicare Nurse Practitioner in Freeport, NY