Sarah Chisholm Southard, ANP is a medicare enrolled "Surgery" in Portland, Maine. Her current practice location is
22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 662-0111.
Sarah Chisholm Southard is licensed to practice in Maine (license number CNP181213) 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 1497078299.
Provider's Profile
Full Name | Sarah Chisholm Southard |
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Gender | Female |
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Speciality | Surgery |
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Location | 22 Bramhall St, Portland, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497078299
- Provider Enumeration Date: 03/08/2010
- Last Update Date: 07/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850629148
- Enrollment ID: I20190823002922
Medical Identifiers
Medical identifiers for Sarah Chisholm Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497078299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | RN264145 (Massachusetts) | Secondary |
208600000X | Surgery | CNP181213 (Maine) | 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. Sarah Chisholm Southard allows following entities to bill medicare on her behalf.
Entity Name | Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
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Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
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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. Sarah Chisholm Southard 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 |
Sarah Chisholm Southard, ANP 22 Bramhall St, Portland, ME 04102-3175 Ph: (207) 662-0111 | Sarah Chisholm Southard, ANP 22 Bramhall St, Portland, ME 04102-3175 Ph: (207) 662-0111 |
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