Justin K Sandefur, is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Austin, Texas. His current practice location is
4900 Mueller Blvd, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 324-0515.
Justin K Sandefur is licensed to practice in Texas (license number AP139467) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497222400.
Physician's Profile
Full Name | Justin K Sandefur |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner - Acute Care |
---|
Location | 4900 Mueller Blvd, Austin, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497222400
- Provider Enumeration Date: 10/28/2018
- Last Update Date: 03/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365899176
- Enrollment ID: I20231115001956
Medical Identifiers
Medical identifiers for Justin K Sandefur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497222400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | AP139467 (Texas) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | AP139467 (Texas) | 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. Justin K Sandefur allows following entities to bill medicare on his behalf.
Entity Name | Texas Childrens Physician Group |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
---|
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. Justin K Sandefur 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 |
Justin K Sandefur, 4624 Page St, Austin, TX 78723-5484 Ph: (512) 748-5404 | Justin K Sandefur, 4900 Mueller Blvd, Austin, TX 78723-3079 Ph: (512) 324-0515 |
Reviews and Comments