Sandra Theresa Lerch, C FNP CNM is a medicare enrolled "Advanced Practice Midwife" in Jackson, Wyoming. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
320 E Broadway, Ste 1c, Jackson, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 733-4585.
Sandra Theresa Lerch is licensed to practice in Wyoming (license number WY180540164) 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 1578503850.
Provider's Profile
| Full Name | Sandra Theresa Lerch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 29 Years |
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| Location | 320 E Broadway, Jackson, Wyoming |
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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 Theresa Lerch graduated from nursing school in 1995
NPI Data:
- NPI Number: 1578503850
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 10/31/2016
Medicare PECOS Information:
- PECOS PAC ID: 3577645274
- Enrollment ID: I20140402000674
Medical Identifiers
Medical identifiers for Sandra Theresa Lerch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578503850 | NPI | - | NPPES |
| 11694100 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | WY180540164 (Wyoming) | Primary |
Medical Facilities Affiliation
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 Theresa Lerch allows following entities to bill medicare on her behalf.
| Entity Name | Theresa Lerch C-fnp Cnm Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437335866
PECOS PAC ID: 7810059409
Enrollment ID: O20140402000551 |
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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 Theresa Lerch 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 Theresa Lerch, C FNP CNM
Po Box 9487,
Jackson, WY 83002-9487
Ph: (307) 733-4585 | Sandra Theresa Lerch, C FNP CNM
320 E Broadway, Ste 1c,
Jackson, WY 83001
Ph: (307) 733-4585 |
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