David Sandifer, in Fort Wayne, IN - Medicare Nurse Practitioner

David Sandifer, is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. His current practice location is 700 Broadway, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-3000.

David Sandifer is licensed to practice in Indiana (license number 28223639A) 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 1386308922.

Contact Information

	David Sandifer,
	700 Broadway, Fort Wayne, IN 46802-1493
	(260) 425-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	David Sandifer
Gender	Male
Speciality	Nurse Practitioner
Location	700 Broadway, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386308922
Provider Enumeration Date: 10/29/2021
Last Update Date: 10/29/2021

Medicare PECOS Information:

PECOS PAC ID: 2961890322
Enrollment ID: I20211104000847

Medical Identifiers

Medical identifiers for David Sandifer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386308922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28223639A (Indiana)	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. David Sandifer allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552

Entity Name	App Of Indiana Ed, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639

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. David Sandifer 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
David Sandifer, 3144 Breyerton Cv, Fort Wayne, IN 46814-0002 Ph: (219) 508-6424	David Sandifer, 700 Broadway, Fort Wayne, IN 46802-1493 Ph: (260) 425-3000

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

David Sandifer, - Medicare Nurse Practitioner in Fort Wayne, IN