Susan Sandoval, MD in Winter Haven, FL

Susan Sandoval, MD is a medicare enrolled "Pediatrics" physician in Winter Haven, Florida. Her current practice location is 430 E Central Ave, Winter Haven, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 284-6850.

Susan Sandoval is licensed to practice in Florida (license number ME76434) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740286277.

Contact Information

	Susan Sandoval, MD
	430 E Central Ave, Winter Haven, FL 33880-3050
	(863) 284-6850
	(863) 284-6853

Map and Direction

Physician's Profile

Full Name	Susan Sandoval
Gender	Female
Speciality	Pediatrics
Location	430 E Central Ave, Winter Haven, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740286277
Provider Enumeration Date: 06/21/2005
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0042452559
Enrollment ID: I20130813000652

Medical Identifiers

Medical identifiers for Susan Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740286277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME76434 (Florida)	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. Susan Sandoval allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Regional Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384

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. Susan Sandoval 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
Susan Sandoval, MD 1324 Lakeland Hills Blvd, Medical Staff Office, Lakeland, FL 33805-4543 Ph: () -	Susan Sandoval, MD 430 E Central Ave, Winter Haven, FL 33880-3050 Ph: (863) 284-6850

Reviews and Comments

Pediatrics Doctors in Winter Haven, FL

Raul Alvarez Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 430 E Central Ave, Winter Haven, FL 33880 Phone: 863-284-6850 Fax: 863-284-6853
Liana Sanchez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Avenue C Nw, Winter Haven, FL 33881 Phone: 863-294-0670 Fax: 863-298-3200
Norah Maria Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Pope Ave Nw # 100, Winter Haven, FL 33881 Phone: 863-293-2144 Fax: 863-293-3732
Dr. Jennifer Efua Amoa Fynn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Avenue O Se, Winter Haven, FL 33880 Phone: 863-294-7039 Fax: 863-291-5963
Donald Eason, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1119 Interlochen Blvd, Winter Haven, FL 33884 Phone: 863-289-6060
Ranjit J Silva, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Avenue C Nw, Winter Haven, FL 33881 Phone: 863-294-0670 Fax: 863-298-3200
Dr. Kenny Nguyen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 500 E Central Ave, Winter Haven, FL 33880 Phone: 863-293-1191

Susan Sandoval, MD - Medicare Pediatrics in Winter Haven, FL