Jennifer Sanderson, CRNA is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" in Jacksonville, Florida. Her current practice location is
807 Childrens Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 697-3600.
Jennifer Sanderson is licensed to practice in Florida (license number APRN9332786) 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 1740567460.
Provider's Profile
| Full Name | Jennifer Sanderson |
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| Gender | Female |
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| Speciality | Anesthesiology - Pediatric Anesthesiology |
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| Location | 807 Childrens Way, Jacksonville, Florida |
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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: 1740567460
- Provider Enumeration Date: 11/09/2011
- Last Update Date: 05/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850566621
- Enrollment ID: I20111206000190
Medical Identifiers
Medical identifiers for Jennifer Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740567460 | NPI | - | NPPES |
| 004297100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9332786 (Florida) | Secondary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | APRN9332786 (Florida) | 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. Jennifer Sanderson allows following entities to bill medicare on her behalf.
| Entity Name | The Nemours Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386658615
PECOS PAC ID: 9537072483
Enrollment ID: O20040109000252 |
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| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786 |
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| Entity Name | Amelia Anesthesia Pl |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508103540
PECOS PAC ID: 9436394673
Enrollment ID: O20130318000401 |
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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. Jennifer Sanderson 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 |
|---|
Jennifer Sanderson, CRNA
10140 Centurion Pkwy N,
Jacksonville, FL 32256-0532
Ph: (904) 697-4127 | Jennifer Sanderson, CRNA
807 Childrens Way,
Jacksonville, FL 32207-8426
Ph: (904) 697-3600 |
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