Active NPI
Steven Forest Sacry, PA-C
- Physician Assistant
- Whitehall, MT
National Provider Identifier
1629064266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 360
- Practice address
- 108 First St W
Whitehall, MT 59759-0339 - Phone
- (406) 287-3003
- Fax
- (406) 287-3014
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 360 | MT | Primary |
Addresses
Primary practice location
108 First St W
Whitehall, MT 59759-0339
Mailing address
PO Box 339
Whitehall, MT 59759-0339
Phone (406) 287-3003
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95473 | Other | MT | BCBS MT PROV ID |
| 4302220 | Medicaid | MT | |
| Q02866 | Other | UPIN | |
| 4302207 | Medicaid | MT | |
| 184739200 | Other | FED WORK COMP GROUP ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
108 1St St W
Whitehall, MT 59759-9607
Phone (406) 287-3003
PO Box
Suite 339
Whitehall, MT 59759-0339
Hospital & facility affiliations
- Eden Home Health
- Billings Clinic Hospital
- St James Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360 | MT | MD | Nutrition Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Whitehall, MT
- NPI 1124013719
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
- Home Health Agency
- Bozeman, MT
- NPI 1659963999
-
- General Acute Care Hospital
- Butte, MT
- NPI 1528037215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629064266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 339",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597590339",
"telephone_number": "406-287-3003",
"fax_number": "406-287-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 FIRST ST W",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597590339",
"telephone_number": "406-287-3003",
"fax_number": "406-287-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACRY",
"first_name": "STEVEN",
"middle_name": "FOREST",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MT PROV ID",
"identifier": "95473",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4302220",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "Q02866",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4302207",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED WORK COMP GROUP ID",
"identifier": "184739200",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.