Mr Manuel Antonio Sandoval Sr, LCSW in New Britain, CT

Mr Manuel Antonio Sandoval Sr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New Britain, Connecticut. His current practice location is 19 Sexton St, New Britain, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 916-0801.

Mr Manuel Antonio Sandoval Sr is licensed to practice in Connecticut (license number 12675) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437743903.

Contact Information

	Mr Manuel Antonio Sandoval Sr, LCSW
	19 Sexton St, New Britain, CT 06051-1017
	(860) 916-0801
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Manuel Antonio Sandoval Sr
Gender	Male
Speciality	Social Worker - Clinical
Location	19 Sexton St, New Britain, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437743903
Provider Enumeration Date: 02/25/2021
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2769852854
Enrollment ID: I20230106000232

Medical Identifiers

Medical identifiers for Mr Manuel Antonio Sandoval Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437743903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	12675 (Connecticut)	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. Mr Manuel Antonio Sandoval Sr allows following entities to bill medicare on his behalf.

Entity Name	Tenacious Resilient Individual Living In Focused Energy Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104503879 PECOS PAC ID: 5395278303 Enrollment ID: O20241030000160

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. Mr Manuel Antonio Sandoval Sr 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
Mr Manuel Antonio Sandoval Sr, LCSW 19 Sexton St, New Britain, CT 06051-1017 Ph: (860) 916-0801	Mr Manuel Antonio Sandoval Sr, LCSW 19 Sexton St, New Britain, CT 06051-1017 Ph: (860) 916-0801

Reviews and Comments

Social Worker in New Britain, CT

Melissa Ann Richard, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Ellis St Unit 1, New Britain, CT 06051 Phone: 203-305-2810
Ms. Ellen Rosenberg, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5285
Victoria Cone, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 233 Main St, New Britain, CT 06051 Phone: 860-224-3331
Ms. Claudette Sands, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Franklin Sq, New Britain, CT 06051 Phone: 860-225-3561 Fax: 860-225-2558
Kim Newland, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 Lexington St, New Britain, CT 06052 Phone: 860-225-2658 Fax: 860-224-7200
Alison Cormier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 233 Main St, New Britain, CT 06051 Phone: 860-480-1014
Shioban Natassia Gordon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Grove St Ste 201, New Britain, CT 06053 Phone: 860-612-8613 Fax: 860-294-4766

Mr Manuel Antonio Sandoval Sr, LCSW - Medicare Clinical Social Worker in New Britain, CT