Sandra K Ham, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Buffalo, Wyoming. Her current practice location is
107 W Hesse, Buffalo, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 684-1444.
Sandra K Ham is licensed to practice in Wyoming (license number 23899-0963) 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 1083881262.
Provider's Profile
| Full Name | Sandra K Ham |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 107 W Hesse, Buffalo, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083881262
- Provider Enumeration Date: 05/15/2008
- Last Update Date: 11/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 9335210566
- Enrollment ID: I20080917000882
Medical Identifiers
Medical identifiers for Sandra K Ham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083881262 | NPI | - | NPPES |
| S102619 | Other | WY | MEDICARE PTAN |
| 126725600 | Medicaid | WY | |
| 53D2028400 | Other | WY | CLIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | CP000529 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23899 (Wyoming) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23899-0963 (Wyoming) | 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 K Ham allows following entities to bill medicare on her behalf.
| Entity Name | Gastroenterology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811909807
PECOS PAC ID: 8820902695
Enrollment ID: O20031117000116 |
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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 K Ham 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 K Ham, FNP-C
107 W. Hesse,
Buffalo, WY 82834
Ph: (307) 684-1444 | Sandra K Ham, FNP-C
107 W Hesse,
Buffalo, WY 82834
Ph: (307) 684-1444 |
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