Sandy R Hagene, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cuba, Missouri. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Missouri Baptist Hospital Of Sullivan and her current practice location is
102 Ozark Dr, Cuba, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 885-6600.
Sandy R Hagene is licensed to practice in Missouri (license number 112906) 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 1184731671.
Provider's Profile
Full Name | Sandy R Hagene |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 27 Years |
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Location | 102 Ozark Dr, Cuba, Missouri |
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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. |
Medical Education and Training:
- Sandy R Hagene graduated from nursing school in 1997
NPI Data:
- NPI Number: 1184731671
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 05/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810095239
- Enrollment ID: I20070608000409
Medical Identifiers
Medical identifiers for Sandy R Hagene such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184731671 | NPI | - | NPPES |
424651305 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 112906 (Missouri) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Missouri Baptist Hospital Of Sullivan | 2668380148 | 31 |
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. Sandy R Hagene allows following entities to bill medicare on her behalf.
Entity Name | Missouri Baptist Hospital Of Sullivan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396827408 PECOS PAC ID: 2668380148 Enrollment ID: O20050519000401 |
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Entity Name | Missouri Baptist Hospital Of Sullivan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616 |
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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. Sandy R Hagene 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 |
Sandy R Hagene, FNP 102 Ozark Dr Ste B, Cuba, MO 65453-1664 Ph: (573) 885-6600 | Sandy R Hagene, FNP 102 Ozark Dr, Cuba, MO 65453 Ph: (573) 885-6600 |
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