Evan Sanford, MD is a medicare enrolled "Otolaryngology" physician in Cookeville, Tennessee. He went to University Of Mississippi School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Upper Cumberland Otolaryngology Clinic, Pc and his current practice location is
100 W 4th St Ste 200, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 528-1575.
Evan Sanford is licensed to practice in Tennessee (license number 60732) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871989350.
Physician's Profile
| Full Name | Evan Sanford |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 9 Years |
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| Location | 100 W 4th St Ste 200, Cookeville, Tennessee |
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| Accepts Medicare Assignments | Yes. He 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:
- Evan Sanford attended and graduated from University Of Mississippi School Of Medicine in 2015
NPI Data:
- NPI Number: 1871989350
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 09/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557786001
- Enrollment ID: I20200731000883
Medical Identifiers
Medical identifiers for Evan Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871989350 | NPI | - | NPPES |
| Q058525 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 60732 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Upper Cumberland Otolaryngology Clinic, Pc | 1850487158 | 7 |
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. Evan Sanford allows following entities to bill medicare on his behalf.
| Entity Name | Upper Cumberland Otolaryngology Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598821464
PECOS PAC ID: 1850487158
Enrollment ID: O20071018000126 |
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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. Evan 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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Evan Sanford, MD
100 W 4th St Ste 200,
Cookeville, TN 38501-2452
Ph: (931) 528-1575 | Evan Sanford, MD
100 W 4th St Ste 200,
Cookeville, TN 38501-2452
Ph: (931) 528-1575 |
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