Dr Jewel Sandy, MD is a medicare enrolled "Ophthalmology" physician in Williston, North Dakota. She went to Loma Linda University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Innovis Health Llc and her current practice location is
1321 W Dakota Pkwy, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 572-7641.
Dr Jewel Sandy is licensed to practice in North Dakota (license number 17337) 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 1578833802.
Physician's Profile
| Full Name | Dr Jewel Sandy |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 13 Years |
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| Location | 1321 W Dakota Pkwy, Williston, North Dakota |
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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. |
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Medical Education and Training:
- Dr Jewel Sandy attended and graduated from Loma Linda University School Of Medicine in 2011
NPI Data:
- NPI Number: 1578833802
- Provider Enumeration Date: 01/03/2012
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628228061
- Enrollment ID: I20210706002942
Medical Identifiers
Medical identifiers for Dr Jewel Sandy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578833802 | NPI | - | NPPES |
| 33-0672915 | Other | CA | FP & SURGEONS OF LLUSOM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 31208 (Oklahoma) | Secondary |
| 207W00000X | Ophthalmology | A149994 (California) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | A149994 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 17337 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Innovis Health Llc | 9931298155 | 478 |
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 Jewel Sandy allows following entities to bill medicare on her behalf.
| Entity Name | Innovis Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158 |
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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 Jewel Sandy 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 Jewel Sandy, MD
Po Box 5010,
Minot, ND 58702-5010
Ph: (701) 418-8000 | Dr Jewel Sandy, MD
1321 W Dakota Pkwy,
Williston, ND 58801-3807
Ph: (701) 572-7641 |
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