Ellen Marie Sandoval, MD is a medicare enrolled "Pediatrics" physician in Croton-on-hudson, New York. Her current practice location is
35 South Riverside Avenue, The Westchester Medical Pratice Pc, Croton-on-hudson, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 271-2424.
Ellen Marie Sandoval is licensed to practice in New York (license number 176447) 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 1740532951.
Physician's Profile
| Full Name | Ellen Marie Sandoval |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 35 South Riverside Avenue, Croton-on-hudson, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740532951
- Provider Enumeration Date: 10/11/2012
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335378827
- Enrollment ID: I20140203001029
Medical Identifiers
Medical identifiers for Ellen Marie Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740532951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 176447-01 (New York) | Secondary |
| 208000000X | Pediatrics | 176447 (New York) | 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. Ellen Marie Sandoval allows following entities to bill medicare on her behalf.
| Entity Name | The Westchester Medical Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225222953
PECOS PAC ID: 9335238732
Enrollment ID: O20080502000160 |
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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. Ellen Marie 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 |
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Ellen Marie Sandoval, MD
50 Dayton Lane, Suite 202, The Westchester Medical Practice Pc,
Peekskill, NY 10566
Ph: (914) 739-0087 | Ellen Marie Sandoval, MD
35 South Riverside Avenue, The Westchester Medical Pratice Pc,
Croton-on-hudson, NY 10520
Ph: (914) 271-2424 |
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