Charmayne N Sandoval, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. She graduated from healthcare school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Life Counseling And Consulting Pllc, Catholic Health Initiatives Colorado and her current practice location is
110 E Routt Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 543-8711.
Charmayne N Sandoval is licensed to practice in Colorado (license number CSW.09923811) 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 1215221320.
Healthcare Provider's Profile
Full Name | Charmayne N Sandoval |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 13 Years |
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Location | 110 E Routt Ave, Pueblo, Colorado |
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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. |
Medical Education and Training:
- Charmayne N Sandoval graduated from medical school in 2012
NPI Data:
- NPI Number: 1215221320
- Provider Enumeration Date: 06/06/2011
- Last Update Date: 07/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527373760
- Enrollment ID: I20150817001419
Medical Identifiers
Medical identifiers for Charmayne N Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215221320 | NPI | - | NPPES |
61502723 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | CSW.09923811 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09923811 (Colorado) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Life Counseling And Consulting Pllc | 0042592123 | 3 |
Catholic Health Initiatives Colorado | 8022927342 | 972 |
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. Charmayne N Sandoval allows following entities to bill medicare on her behalf.
Entity Name | Pueblo Community Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
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Entity Name | Catholic Health Initiatives Colorado |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
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Entity Name | Life Counseling And Consulting Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518400837 PECOS PAC ID: 0042592123 Enrollment ID: O20170125001732 |
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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. Charmayne N Sandoval 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 |
Charmayne N Sandoval, LCSW 300 Colorado Ave, Pueblo, CO 81004-2006 Ph: (719) 543-8711 | Charmayne N Sandoval, LCSW 110 E Routt Ave, Pueblo, CO 81004-2117 Ph: (719) 543-8711 |
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