Jacob Sandefur, is a medicare enrolled "Nurse Practitioner - Family" in North Little, Arkansas. His current practice location is
3840 Landers Road, North Little, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 500-3500.
Jacob Sandefur is licensed to practice in Arkansas (license number 216212) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942870316.
Provider's Profile
Full Name | Jacob Sandefur |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3840 Landers Road, North Little, Arkansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacob Sandefur attended and graduated from in
NPI Data:
- NPI Number: 1942870316
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacob Sandefur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942870316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 216212 (Arkansas) | Primary |
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. Jacob Sandefur 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 |
Jacob Sandefur, 800 Fair Park Blvd, Little Rock, AR 72204-1720 Ph: (501) 500-3500 | Jacob Sandefur, 3840 Landers Road, North Little, AR 72117 Ph: (501) 500-3500 |
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