Job L Sandoval, MD | |
350 Liberty St, Pawcatuck, CT 06379-1354 | |
(860) 599-9961 | |
Not Available |
Full Name | Job L Sandoval |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 350 Liberty St, Pawcatuck, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790815157 | NPI | - | NPPES |
731424 | Other | CONNECTICARE | |
D400654480 | Other | CT | MEDICARE |
4095 | Other | RI BLUE CHIP | |
010007098RL01 | Other | CONNECTICUT BLUE CROSS | |
1790815157 | Medicaid | CT | |
41605 | Other | RI | BLUE SHIELD |
D400737416 | Other | CT | MEDICARE |
9000416 | Medicaid | RI | |
9258294 | Other | CIGNA | |
0004674595 | Other | AETNA | |
110020788 | Other | RI | RAILROAD MEDICARE |
3066520 | Other | CONNECTICUT MEDICAL ASSIS | |
P02475705 | Other | CT | RAILROAD MEDICARE |
P405784 | Other | OXFORD | |
0400364 | Other | UNITED HEALTH | |
0R0283 | Other | HEALTH NET | |
41605 | Other | FEDERAL BLUE SHIELD | |
050431424 02891 A001 | Other | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7098 (Rhode Island) | Secondary |
207R00000X | Internal Medicine | 29158 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South County Home Health | Narragansett, RI | Home health agency |
Bayada Home Health Care, Inc | Providence, RI | Home health agency |
Beacon Hospice, An Amedisys Company | East providence, RI | Hospice |
Westerly Hospital | Westerly, RI | Hospital |
William W Backus Hospital | Norwich, CT | Hospital |
South County Hospital Inc | Wakefield, RI | Hospital |
Lawrence & Memorial Hospital | New london, CT | Hospital |
The Miriam Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Medical Group Inc | 1153573902 | 220 |
Entity Name | Hartford Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Job L Sandoval, MD 350 Liberty St, Pawcatuck, CT 06379-1354 Ph: (860) 599-9961 | Job L Sandoval, MD 350 Liberty St, Pawcatuck, CT 06379-1354 Ph: (860) 599-9961 |
Dr. Stephen Joseph Phelan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 Fax: 860-865-2389 | |
Dr. Louis C Iovino, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91 Voluntown Rd, Pawcatuck, CT 06379 Phone: 860-599-5477 Fax: 860-271-4663 |