Sara J Sedivy, LP is a medicare enrolled "Counselor - Mental Health" provider in Rochester, Minnesota. Her current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 284-2511.
Sara J Sedivy is licensed to practice in Minnesota (license number LP3392) 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 1184054280.
Healthcare Provider's Profile
Full Name | Sara J Sedivy |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 200 1st St Sw, Rochester, Minnesota |
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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: 1184054280
- Provider Enumeration Date: 11/26/2013
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779924253
- Enrollment ID: I20240515001616
Medical Identifiers
Medical identifiers for Sara J Sedivy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184054280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | LP3392 (Minnesota) | Secondary |
103TC1900X | Psychologist - Counseling | LP3392 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | LP3392 (Minnesota) | 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. Sara J Sedivy allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
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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. Sara J Sedivy 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 |
Sara J Sedivy, LP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Sara J Sedivy, LP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
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