Sarah Anne Woodrick, PA
Individual provider Active NPI Medical Physician Assistant · South Bend, IN
NPI 1467909697 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1467909697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 1815 E Ireland Rd
South Bend, IN 46614-2845 - Phone
- (574) 647-1700
- Fax
- (574) 291-3351
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardinal Dermatology LLC
Practice addresses (Care Compare)
4322 S Lafayette Blvd
South Bend, IN 46614-2518
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161017002752 | IN | Practitioner - Physician Assistant | 7012205420 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
1815 E Ireland Rd
South Bend, IN 46614-2845
Mailing address
2733 Southridge Dr
South Bend, IN 46614-1537
Phone (269) 930-2823
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samartin@mybeacon.cernerdirect.com |
Other providers in South Bend, IN
- Lacy Marie Wolter
- Marcia Louise Wong
- Steven C Wong
- Mary Robin Wood
- Woodlawn Hospital
- Woodrige Alf Operations LLC
- Hannah Woodruff
- John Robert Woods
- Donna Lynn Woodward
- Elizabeth Ann Woolsey
All providers in South Bend, IN · Medical Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.