Dr Sandra Marie Bronni, MD is a medicare enrolled "Pediatrics" physician in Lake Havasu City, Arizona. Her current practice location is
2090 Smoketree Ave N, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 854-1800.
Dr Sandra Marie Bronni is licensed to practice in Arizona (license number 60405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548209950.
Physician's Profile
Full Name | Dr Sandra Marie Bronni |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2090 Smoketree Ave N, Lake Havasu City, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548209950
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 07/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224351168
- Enrollment ID: I20180829002682
Medical Identifiers
Medical identifiers for Dr Sandra Marie Bronni such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548209950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 60405 (Arizona) | 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. Dr Sandra Marie Bronni allows following entities to bill medicare on her behalf.
Entity Name | Hurley Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
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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 Sandra Marie Bronni 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 Sandra Marie Bronni, MD Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879 | Dr Sandra Marie Bronni, MD 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 Ph: (928) 854-1800 |
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