Sandra Elaine Leaders, FNP is a medicare enrolled "Nurse Practitioner" in Malvern, Iowa. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physicians Clinic Inc and her current practice location is
415 Main St Ste 1, Malvern, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 624-9185.
Sandra Elaine Leaders is licensed to practice in Iowa (license number A1071752) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629150669.
Provider's Profile
| Full Name | Sandra Elaine Leaders |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 415 Main St Ste 1, Malvern, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandra Elaine Leaders graduated from nursing school in 2013
NPI Data:
- NPI Number: 1629150669
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 11/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 2365537164
- Enrollment ID: I20141103001277
Medical Identifiers
Medical identifiers for Sandra Elaine Leaders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629150669 | NPI | - | NPPES |
| 1629150669 | Medicaid | IA | |
| 0254656 | Medicaid | IA | |
| 0638593 | Medicaid | IA | |
| 47068731712 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | A071752 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | A1071752 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Physicians Clinic Inc | 4880506062 | 505 |
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 Elaine Leaders allows following entities to bill medicare on her behalf.
| Entity Name | Physicians Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20040129000296 |
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| Entity Name | Ottumwa Health Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386956290
PECOS PAC ID: 3971629924
Enrollment ID: O20100927001257 |
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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. Sandra Elaine Leaders 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 |
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Sandra Elaine Leaders, FNP
Po Box 3755,
Omaha, NE 68103-0755
Ph: (402) 354-2100 | Sandra Elaine Leaders, FNP
415 Main St Ste 1,
Malvern, IA 51551-8137
Ph: (712) 624-9185 |
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