Memphis Chardell Sandoval, NP in Muncie, IN - Medicare Nurse Practitioner

Memphis Chardell Sandoval, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Muncie, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meridian Health Services Corp and her current practice location is 240 N Tillotson Ave, Muncie, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 288-1928.

Memphis Chardell Sandoval is licensed to practice in Indiana (license number 71014109A) 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 1720692494.

Contact Information

	Memphis Chardell Sandoval, NP
	240 N Tillotson Ave, Muncie, IN 47304-3988
	(765) 288-1928
	Not Available

Map and Direction

Provider's Profile

Full Name	Memphis Chardell Sandoval
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	240 N Tillotson Ave, Muncie, Indiana
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:

Memphis Chardell Sandoval graduated from nursing school in 2020

NPI Data:

NPI Number: 1720692494
Provider Enumeration Date: 09/01/2020
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5799195657
Enrollment ID: I20230727001956

Medical Identifiers

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

Identifier	Type	State	Issuer
1720692494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704299093 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704299093 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	863235 (Nevada)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71014109A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meridian Health Services Corp	5597679845	47

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. Memphis Chardell Sandoval allows following entities to bill medicare on her behalf.

Entity Name	Meridian Health Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531

Entity Name	Accentus Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295464147 PECOS PAC ID: 7012381155 Enrollment ID: O20230313001975

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. Memphis Chardell 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
Memphis Chardell Sandoval, NP 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928	Memphis Chardell Sandoval, NP 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928

Reviews and Comments

Nurse Practitioner Nurses in Muncie, IN

Julie Mongeri-mcpherson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0359
Macy Lynn Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 N Briarwood Ln, Muncie, IN 47304 Phone: 765-224-6513
Ms. Chasity R Evans, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 W University Ave, Suite 404, Muncie, IN 47303 Phone: 765-231-9494 Fax: 765-587-4456
Amy J Dockrey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave Ste 403, Muncie, IN 47303 Phone: 765-289-6381
Sheri Stohler Bennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 W Bethel Ave, Muncie, IN 47304 Phone: 765-284-7738 Fax: 765-213-3713
Stephanie Nicole Grimes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3570 N Briarwood Ln, Muncie, IN 47304 Phone: 765-224-6513
Jacqualine Anthony, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-7111

Memphis Chardell Sandoval, NP - Medicare Nurse Practitioner in Muncie, IN