Dr Sandra H Bolanos, MD, PHD in Port Saint Lucie, FL

Dr Sandra H Bolanos, MD, PHD is a medicare enrolled "Family Medicine" physician in Port Saint Lucie, Florida. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Indian River Health Services Inc and her current practice location is 1730 Sw Saint Lucie West Blvd, Port Saint Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 873-8155.

Dr Sandra H Bolanos is licensed to practice in Florida (license number ME137622) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992968853.

Contact Information

	Dr Sandra H Bolanos, MD, PHD
	1730 Sw Saint Lucie West Blvd, Port Saint Lucie, FL 34986-2504
	(772) 873-8155
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sandra H Bolanos
Gender	Female
Speciality	Family Practice
Experience	17 Years
Location	1730 Sw Saint Lucie West Blvd, Port Saint Lucie, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sandra H Bolanos attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2007

NPI Data:

NPI Number: 1992968853
Provider Enumeration Date: 07/09/2008
Last Update Date: 03/10/2019

Medicare PECOS Information:

PECOS PAC ID: 6406090349
Enrollment ID: I20190222001450

Medical Identifiers

Medical identifiers for Dr Sandra H Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992968853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QB0002X	Family Medicine - Obesity Medicine	89982967 (Virginia)	Secondary
207Q00000X	Family Medicine	0116019794 (Virginia)	Secondary
207Q00000X	Family Medicine	ME137622 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cleveland Clinic Indian River Hospital	Vero beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indian River Health Services Inc	9234130329	291

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. Dr Sandra H Bolanos allows following entities to bill medicare on her behalf.

Entity Name	Indian River Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060

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. Dr Sandra H Bolanos 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
Dr Sandra H Bolanos, MD, PHD 1730 Sw Saint Lucie West Blvd, Port Saint Lucie, FL 34986-2504 Ph: (772) 873-8155	Dr Sandra H Bolanos, MD, PHD 1730 Sw Saint Lucie West Blvd, Port Saint Lucie, FL 34986-2504 Ph: (772) 873-8155

Reviews and Comments

Family Medicine Doctors in Port Saint Lucie, FL

Dr. Bambi Petrinic, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 513 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986 Phone: 772-344-7228 Fax: 772-344-7158
Joel Dorce Alexandre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1362 Sw Bayshore Blvd, Port Saint Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215
Dr. Edward K Kankam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 293 Nw Peacock Blvd Ste 101-104, Port Saint Lucie, FL 34986 Phone: 772-335-9600 Fax: 772-879-4478
Dr. Patrick Leung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 290 Nw Peacock Blvd #880891, Port Saint Lucie, FL 34986 Phone: 816-398-8916
Dionne Layne Hinds, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste C-106, Port Saint Lucie, FL 34952 Phone: 772-249-0636 Fax: 772-237-3114
Dr. Joseph Michael Wierzbicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port Saint Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133
Dr. Denise Ricketts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste B-109, Port Saint Lucie, FL 34952 Phone: 772-337-9473

Dr Sandra H Bolanos, MD, PHD - Medicare Family Practice in Port Saint Lucie, FL