Cody Jo Sanford, APRN is a medicare enrolled "Nurse Practitioner - Family" in De Kalb, Texas. Her current practice location is
216 N Centre St, De Kalb, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 667-2273.
Cody Jo Sanford is licensed to practice in Texas (license number 1029700) 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 1740886704.
Provider's Profile
| Full Name | Cody Jo Sanford |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 216 N Centre St, De Kalb, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740886704
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 10/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002261054
- Enrollment ID: I20231011000354
Medical Identifiers
Medical identifiers for Cody Jo Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740886704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 872128 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1029700 (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. Cody Jo Sanford allows following entities to bill medicare on her behalf.
| Entity Name | Dekalb Physicians Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265565691
PECOS PAC ID: 0244264216
Enrollment ID: O20050920000946 |
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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. Cody Jo Sanford 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 |
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Cody Jo Sanford, APRN
216 N Centre St,
De Kalb, TX 75559-1406
Ph: (903) 667-2273 | Cody Jo Sanford, APRN
216 N Centre St,
De Kalb, TX 75559-1406
Ph: (903) 667-2273 |
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