Dr Jesse Sandoval, DO is a medicare enrolled "Phlebology" physician in Soldotna, Alaska. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1989 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Central Peninsula General Hospital Inc and his current practice location is
245 N Binkley St Ste 101, Soldotna, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 714-4111.
Dr Jesse Sandoval is licensed to practice in Idaho (license number O124) 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 1972552271.
Physician's Profile
Full Name | Dr Jesse Sandoval |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 36 Years |
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Location | 245 N Binkley St Ste 101, Soldotna, Alaska |
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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 Jesse Sandoval attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1989
NPI Data:
- NPI Number: 1972552271
- Provider Enumeration Date: 05/06/2006
- Last Update Date: 12/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739168345
- Enrollment ID: I20160407002168
Medical Identifiers
Medical identifiers for Dr Jesse Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972552271 | NPI | - | NPPES |
S4620 | Other | ID | BLUE CROSS OF IDAHO |
200489062 | Other | ID | PRIMARY HEALTH NETWORK |
200489062 | Other | ID | TRICARE WEST |
0004676625 | Other | ID | AETNA |
200489062 | Other | ID | PRINCIPAL LIFE INSURANCE |
004314700 | Medicaid | ID | |
200489062 | Other | ID | MUTUAL OF OMAHA |
200489062 | Other | ID | HCS HEALTH CLAIMS SERVICE |
000010145826 | Other | ID | REGENCE BLUE SHEILD |
200489062 | Other | ID | UNITED HEALTH CARE |
200489062 | Other | ID | CIGNA HEALTH CARE |
200489062 | Other | ID | FIRST HEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0124 (Idaho) | Secondary |
202K00000X | Phlebology | O124 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Central Peninsula General Hospital Inc | 4587552575 | 93 |
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 Jesse Sandoval allows following entities to bill medicare on his behalf.
Entity Name | Central Peninsula General Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528062429 PECOS PAC ID: 4587552575 Enrollment ID: O20040310000598 |
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Entity Name | Laser Vein Center Of Fairbanks, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124161716 PECOS PAC ID: 9931206448 Enrollment ID: O20070517000500 |
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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 Jesse 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 |
Dr Jesse Sandoval, DO Po Box 7130, Boise, ID 83707-1130 Ph: (208) 333-1472 | Dr Jesse Sandoval, DO 245 N Binkley St Ste 101, Soldotna, AK 99669-7500 Ph: (907) 714-4111 |
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