Dr Stephanie L Sandberg, DO is a medicare enrolled "Surgery" physician in O Fallon, Missouri. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Physician Groups Lc and her current practice location is
20 Progress Point Pkwy, Suite 206, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 344-1073.
Dr Stephanie L Sandberg is licensed to practice in Missouri (license number 2004012744) 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 1649273160.
Physician's Profile
| Full Name | Dr Stephanie L Sandberg |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 22 Years |
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| Location | 20 Progress Point Pkwy, O Fallon, Missouri |
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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 Stephanie L Sandberg graduated from medical school in 2002
NPI Data:
- NPI Number: 1649273160
- Provider Enumeration Date: 05/30/2005
- Last Update Date: 02/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426009671
- Enrollment ID: I20050204000043
Medical Identifiers
Medical identifiers for Dr Stephanie L Sandberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649273160 | NPI | - | NPPES |
| 208778902 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 2004012744 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Physician Groups Lc | 3072421254 | 427 |
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 Stephanie L Sandberg allows following entities to bill medicare on her behalf.
| Entity Name | Physician Groups Lc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285664268
PECOS PAC ID: 3072421254
Enrollment ID: O20040220001157 |
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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 Stephanie L Sandberg 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 Stephanie L Sandberg, DO
670 Mason Ridge Center Dr, Ste 300,
Saint Louis, MO 63141-8573
Ph: (636) 344-1073 | Dr Stephanie L Sandberg, DO
20 Progress Point Pkwy, Suite 206,
O Fallon, MO 63368-2206
Ph: (636) 344-1073 |
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