Andre D Sapp, MD is a medicare enrolled "Emergency Medicine" in Fort Novosel, Alabama. His current practice location is
301 Andrews Ave, Fort Novosel, Al 36362, Credentialling Department, Fort Novosel, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 255-7040.
Andre D Sapp is licensed to practice in Alabama (license number 49163) 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 1518102953.
Provider's Profile
Full Name | Andre D Sapp |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 301 Andrews Ave, Fort Novosel, Al 36362, Fort Novosel, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518102953
- Provider Enumeration Date: 12/15/2008
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305903097
- Enrollment ID: I20241030001929
Medical Identifiers
Medical identifiers for Andre D Sapp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518102953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | C0003916 (Maryland) | Secondary |
207P00000X | Emergency Medicine | 49163 (Alabama) | 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. Andre D Sapp allows following entities to bill medicare on his behalf.
Entity Name | Flowers Hb Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972283828 PECOS PAC ID: 6305290990 Enrollment ID: O20231002000205 |
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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. Andre D Sapp 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 |
Andre D Sapp, MD 2401 W Belvedere Ave, Credentialing, Baltimore, MD 21215-5216 Ph: (410) 601-5523 | Andre D Sapp, MD 301 Andrews Ave, Fort Novosel, Al 36362, Credentialling Department, Fort Novosel, AL 36362 Ph: (334) 255-7040 |
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