Loretta Sandoval, RN, CNM in Medford, OR - Medicare Certified Nurse Midwife (cnm)

Loretta Sandoval, RN, CNM is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Medford, Oregon. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice King Health And Wellness Llc and her current practice location is 3617 S Pacific Hwy, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 535-6239.

Loretta Sandoval is licensed to practice in Oregon (license number 201250116NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568762011.

Contact Information

	Loretta Sandoval, RN, CNM
	3617 S Pacific Hwy, Medford, OR 97501-8957
	(541) 535-6239
	(541) 512-1026

Map and Direction

Provider's Profile

Full Name	Loretta Sandoval
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	11 Years
Location	3617 S Pacific Hwy, Medford, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Loretta Sandoval graduated from nursing school in 2013

NPI Data:

NPI Number: 1568762011
Provider Enumeration Date: 11/01/2010
Last Update Date: 07/26/2012

Medicare PECOS Information:

PECOS PAC ID: 6901059872
Enrollment ID: I20130102000237

Medical Identifiers

Medical identifiers for Loretta Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568762011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201042847RN (Oregon)	Secondary
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	201250116NP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Asante Rogue Regional Medical Center	Medford, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
King Health And Wellness Llc	3375912694	3

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. Loretta Sandoval allows following entities to bill medicare on her behalf.

Entity Name	King Health & Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922734136 PECOS PAC ID: 3375912694 Enrollment ID: O20221208001940

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. Loretta 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
Loretta Sandoval, RN, CNM 3617 S Pacific Hwy, Medford, OR 97501-8957 Ph: (541) 535-6239	Loretta Sandoval, RN, CNM 3617 S Pacific Hwy, Medford, OR 97501-8957 Ph: (541) 535-6239

Reviews and Comments

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Loretta Sandoval, RN, CNM - Medicare Certified Nurse Midwife (cnm) in Medford, OR