Sandra La Rocque, - Medicare Nurse Practitioner in Myrtle Beach, SC

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Sandra La Rocque, is a medicare enrolled "Nurse Practitioner - Family" in Myrtle Beach, South Carolina. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic South Carolina Llc and her current practice location is 1303 38th Ave N, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 445-1697.

Sandra La Rocque is licensed to practice in South Carolina (license number 26787A) 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 1093962086.

Contact Information

Sandra La Rocque,
1303 38th Ave N,
Myrtle Beach, SC 29577-1315
(843) 445-1697
Not Available

Map and Direction




Provider's Profile

Full NameSandra La Rocque
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1303 38th Ave N, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sandra La Rocque graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1093962086
  • Provider Enumeration Date: 08/21/2008
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759447964
  • Enrollment ID: I20230216002701

Medical Identifiers

Medical identifiers for Sandra La Rocque such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093962086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5004067 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 26787A (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic South Carolina Llc8527126861122

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 La Rocque allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447420815
PECOS PAC ID: 8527126861
Enrollment ID: O20081015000409
Entity NameMinuteclinic Video Virtual Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316402746
PECOS PAC ID: 0143650416
Enrollment ID: O20200507003000

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 La Rocque 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
Sandra La Rocque,
1303 38th Ave N,
Myrtle Beach, SC 29577-1315

Ph: (843) 445-1697		Sandra La Rocque,
1303 38th Ave N,
Myrtle Beach, SC 29577-1315

Ph: (843) 445-1697

Reviews and Comments


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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.