Susan Sanford, PT LIC ACC is a medicare enrolled "Physical Therapist" provider in Edgartown, Massachusetts. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Vineyard Complementary Medicine Inc and her current practice location is
238 Edgartown Vineyard Haven Road, Edgartown, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 693-3800.
Susan Sanford is licensed to practice in Massachusetts (license number 10886) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104905934.
Healthcare Provider's Profile
| Full Name | Susan Sanford |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 30 Years |
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| Location | 238 Edgartown Vineyard Haven Road, Edgartown, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan Sanford graduated from medical school in 1994
NPI Data:
- NPI Number: 1104905934
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759324999
- Enrollment ID: I20050610000214
Medical Identifiers
Medical identifiers for Susan Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104905934 | NPI | - | NPPES |
| Y68186 | Other | MA | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 215639 (Massachusetts) | Secondary |
| 225100000X | Physical Therapist | 005094 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | 10886 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vineyard Complementary Medicine Inc | 2860435005 | 5 |
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. Susan Sanford allows following entities to bill medicare on her behalf.
| Provider Name | Vineyard Complementary Medicine Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1053490896
PECOS PAC ID: 2860435005
Enrollment ID: O20050608000387 |
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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. Susan Sanford 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 |
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Susan Sanford, PT LIC ACC
Po Box 951,
West Tisbury, MA 02575-0951
Ph: (508) 693-3800 | Susan Sanford, PT LIC ACC
238 Edgartown Vineyard Haven Road,
Edgartown, MA 02539
Ph: (508) 693-3800 |
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