Omar Sandoval, LPC is a medicare enrolled "Counselor - Professional" provider in Hidalgo, Texas. His current practice location is
417 31st St, Hidalgo, Texas. You can reach out to his office (for appointments etc.) via phone at
(956) 320-7809.
Omar Sandoval is licensed to practice in Texas (license number 78354) 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 1861906539.
Healthcare Provider's Profile
| Full Name | Omar Sandoval |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 417 31st St, Hidalgo, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861906539
- Provider Enumeration Date: 11/16/2017
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577903327
- Enrollment ID: I20240426003506
Medical Identifiers
Medical identifiers for Omar Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861906539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 78354 (Texas) | 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. Omar Sandoval allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220525002138 |
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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. Omar 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 |
|---|
Omar Sandoval, LPC
417 31st St,
Hidalgo, TX 78557-3621
Ph: (956) 320-7809 | Omar Sandoval, LPC
417 31st St,
Hidalgo, TX 78557-3621
Ph: (956) 320-7809 |
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