Dr Earle Glenn Sanford, MD is a medicare enrolled "Ophthalmology" physician in Clinton, Missouri. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Golden Valley Memorial Hospital District and his current practice location is
1602 N 2nd St, Clinton, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 885-8171.
Dr Earle Glenn Sanford is licensed to practice in Missouri (license number 2011001499) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982679775.
Physician's Profile
Full Name | Dr Earle Glenn Sanford |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 28 Years |
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Location | 1602 N 2nd St, Clinton, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Earle Glenn Sanford graduated from medical school in 1996
NPI Data:
- NPI Number: 1982679775
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 10/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698950475
- Enrollment ID: I20110420000376
Medical Identifiers
Medical identifiers for Dr Earle Glenn Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982679775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 1065725A (Indiana) | Secondary |
207W00000X | Ophthalmology | 20730 (Nebraska) | Secondary |
207W00000X | Ophthalmology | 734054 (Tennessee) | Secondary |
207W00000X | Ophthalmology | 2011001499 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Golden Valley Memorial Hospital District | 4688561814 | 85 |
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. Dr Earle Glenn Sanford allows following entities to bill medicare on his behalf.
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
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Entity Name | Golden Valley Memorial Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299 |
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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. Dr Earle Glenn 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 |
Dr Earle Glenn Sanford, MD 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-8171 | Dr Earle Glenn Sanford, MD 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-8171 |
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