Jack T Sandford, MD is a
Radiology - Radiation Oncology physician based in Carterville, Illinois. Jack T Sandford is licensed to practice in Illinois (license number 036104428) and his current practice location is 10286 Fleming Rd, Carterville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 985-4000.
NPI number for Jack T Sandford is 1801835913 and his current mailing address is 1020a E Boal Ave, Boalsburg, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801835913.
Physician's Profile
Full Name | Jack T Sandford |
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Gender | Male |
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Speciality | Radiology - Radiation Oncology |
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Location | 10286 Fleming Rd, Carterville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801835913
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 10/26/2007
Medical Identifiers
Medical identifiers for Jack T Sandford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801835913 | NPI | - | NPPES |
036104428 | Medicaid | IL | |
10027422 | Other | IL | IL BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 036104428 (Illinois) | Primary |
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. Jack T Sandford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jack T Sandford, MD 1020a E Boal Ave, Boalsburg, PA 16827-1509 Ph: (814) 237-8627 | Jack T Sandford, MD 10286 Fleming Rd, Carterville, IL 62918-3351 Ph: (618) 985-4000 |
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