Sandra Gayle Salazar, PMHNP in Albuquerque, NM

Sandra Gayle Salazar, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Albuquerque, New Mexico. Her current practice location is 4425 Juan Tabo Blvd Ne Ste 112, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 503-6800.

Sandra Gayle Salazar is licensed to practice in New Mexico (license number 75454) 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 1104608322.

Contact Information

	Sandra Gayle Salazar, PMHNP
	4425 Juan Tabo Blvd Ne Ste 112, Albuquerque, NM 87111-2684
	(505) 503-6800
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandra Gayle Salazar
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4425 Juan Tabo Blvd Ne Ste 112, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104608322
Provider Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 3577916592
Enrollment ID: I20240125004296

Medical Identifiers

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

Identifier	Type	State	Issuer
1104608322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	75454 (New Mexico)	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 Gayle Salazar allows following entities to bill medicare on her behalf.

Entity Name	Elemental Health And Wellness Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891125183 PECOS PAC ID: 0446481881 Enrollment ID: O20140327000787

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 Gayle Salazar 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 Gayle Salazar, PMHNP 24 Camillo Rd, Los Lunas, NM 87031-5716 Ph: (505) 350-5945	Sandra Gayle Salazar, PMHNP 4425 Juan Tabo Blvd Ne Ste 112, Albuquerque, NM 87111-2684 Ph: (505) 503-6800

Reviews and Comments

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Sandra Gayle Salazar, PMHNP - Medicare Nurse Practitioner in Albuquerque, NM