Dr Lori Jacquemin Sanford, MD is a medicare enrolled "Dermatology" physician in Greenfield, Indiana. She went to Indiana University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Sanford Dermatology and her current practice location is
300 E Boyd Ave, Ste 209, Greenfield, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 967-7921.
Dr Lori Jacquemin Sanford is licensed to practice in Indiana (license number 01072559A) 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 1427282763.
Physician's Profile
| Full Name | Dr Lori Jacquemin Sanford |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 300 E Boyd Ave, Greenfield, Indiana |
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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 Lori Jacquemin Sanford attended and graduated from Indiana University School Of Medicine in 2009
NPI Data:
- NPI Number: 1427282763
- Provider Enumeration Date: 05/14/2009
- Last Update Date: 04/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 2668613720
- Enrollment ID: I20130801000278
Medical Identifiers
Medical identifiers for Dr Lori Jacquemin Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427282763 | NPI | - | NPPES |
| IN2966001 | Other | IN | MEDICARE |
| 201100610A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 01072559A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Dermatology | 7012206303 | 3 |
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 Lori Jacquemin Sanford allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447619747
PECOS PAC ID: 7012206303
Enrollment ID: O20160510000092 |
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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 Lori Jacquemin 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 |
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Dr Lori Jacquemin Sanford, MD
300 E Boyd Ave, Ste 209,
Greenfield, IN 46140-2834
Ph: (317) 967-7921 | Dr Lori Jacquemin Sanford, MD
300 E Boyd Ave, Ste 209,
Greenfield, IN 46140-2834
Ph: (317) 967-7921 |
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