Jeannette Sandoval, is a medicare enrolled "Family Medicine" in Castro Valley, California. Her current practice location is
22101 Redwood Rd Unit B, Unit B, Castro Valley, California. You can reach out to her office (for appointments etc.) via phone at
(510) 648-9012.
Jeannette Sandoval is licensed to practice in California (license number 95012896) 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 1376182402.
Provider's Profile
Full Name | Jeannette Sandoval |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 22101 Redwood Rd Unit B, Castro Valley, California |
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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: 1376182402
- Provider Enumeration Date: 01/06/2020
- Last Update Date: 01/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890131288
- Enrollment ID: I20240307002245
Medical Identifiers
Medical identifiers for Jeannette Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376182402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 839846 (California) | Secondary |
207Q00000X | Family Medicine | 95012896 (California) | 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. Jeannette Sandoval allows following entities to bill medicare on her behalf.
Entity Name | Escalon Physical Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821417866 PECOS PAC ID: 4880918192 Enrollment ID: O20150115000125 |
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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. Jeannette 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 |
Jeannette Sandoval, 744 Twin Oaks Dr, Tracy, CA 95377-8746 Ph: (510) 648-9012 | Jeannette Sandoval, 22101 Redwood Rd Unit B, Unit B, Castro Valley, CA 94546-7107 Ph: (510) 648-9012 |
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