Sarah Lis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Santa Fe, NM

Sarah Lis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Fe, New Mexico. Her current practice location is 113 Coyote Xing, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at (570) 510-6848.

Sarah Lis is licensed to practice in New Mexico (license number 54454) 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 1285101436.

Contact Information

Sarah Lis, CRNA
113 Coyote Xing,
Santa Fe, NM 87508-9375
(570) 510-6848
Not Available



Provider's Profile

Full NameSarah Lis
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location113 Coyote Xing, Santa Fe, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285101436
  • Provider Enumeration Date: 10/25/2018
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668718016
  • Enrollment ID: I20190107002090

Medical Identifiers

Medical identifiers for Sarah Lis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285101436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 43-558020-021 (Kansas)Secondary
367500000XNurse Anesthetist, Certified Registered 54454 (New Mexico)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 Lis allows following entities to bill medicare on her behalf.
Entity NameOtero County Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861450579
PECOS PAC ID: 3173516606
Enrollment ID: O20070212000377

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Entity NameMain Street Anesthesia Of New Mexico, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275010985
PECOS PAC ID: 3476807538
Enrollment ID: O20181108002622

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Entity NameNetherlands Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922603562
PECOS PAC ID: 8123433588
Enrollment ID: O20210216003117

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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 Lis 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 AddressPractice Location Address
Sarah Lis, CRNA
113 Coyote Xing,
Santa Fe, NM 87508-9375

Ph: () -
Sarah Lis, CRNA
113 Coyote Xing,
Santa Fe, NM 87508-9375

Ph: (570) 510-6848

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Nurse Anesthetist, Certified Registered Nurses in Santa Fe, NM

Ms. Mary Eileen Rodkey, RN, BSN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1631 Hospital Dr, Santa Fe, NM 87505
Phone: 505-323-7200    
David Gallagher, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505
Phone: 505-983-3361    
Sarah Louise Dufort,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505
Phone: 505-913-3361    
Ms. Kathleen Moore, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 455 Saint Michaels Dr, Ob Unit, Santa Fe, NM 87505
Phone: 505-820-5554    Fax: 505-820-5440
Ying Xiong, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505
Phone: 505-913-5368    
Rachel Haase Donahue, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1896 Lorca Dr Apt 93, Santa Fe, NM 87505
Phone: 480-206-7691    
Mr. James Humphrey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505
Phone: 505-820-5554    

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