Sandra Tate, APN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Marion, Illinois. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Salem Township Hospital, Washington County Hospital District, Christopher Greater Area Rural Health Planning Corporation and her current practice location is
3412 Office Park Dr, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 292-9999.
Sandra Tate is licensed to practice in Illinois (license number 277000849) 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 1326093493.
Provider's Profile
| Full Name | Sandra Tate |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 24 Years |
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| Location | 3412 Office Park Dr, Marion, Illinois |
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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 Tate graduated from nursing school in 2000
NPI Data:
- NPI Number: 1326093493
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 05/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577518455
- Enrollment ID: I20150415002081
Medical Identifiers
Medical identifiers for Sandra Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326093493 | NPI | - | NPPES |
| CG2264 | Other | IL | RR GROUP NUMBER |
| 207988 | Other | IL | GROUP |
| P00220754 | Other | IL | RR MEDICARE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209005279 (Illinois) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 041290556 (Illinois) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 277000849 (Illinois) | Secondary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 277000849 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Salem Township Hospital | 0840195277 | 29 |
| Washington County Hospital District | 4880599844 | 12 |
| Christopher Greater Area Rural Health Planning Corporation | 8224947387 | 48 |
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 Tate allows following entities to bill medicare on her behalf.
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641 |
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| Entity Name | Christopher Greater Area Rural Health Planning Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073816542
PECOS PAC ID: 8224947387
Enrollment ID: O20040109000561 |
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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 Tate 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 Tate, APN
Po Box 155,
Christopher, IL 62822-0155
Ph: (618) 724-2401 | Sandra Tate, APN
3412 Office Park Dr,
Marion, IL 62959-6477
Ph: (618) 292-9999 |
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