Mrs Sarah Lynette Sandoval, NP in Waterloo, IL

Mrs Sarah Lynette Sandoval, NP is a medicare enrolled "Nurse Practitioner - Family" in Waterloo, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vivo Dermatology And Skin Surgery and her current practice location is 509 Hamacher St Ste 103, Waterloo, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 939-2273.

Mrs Sarah Lynette Sandoval is licensed to practice in Illinois (license number 209016207) 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 1093224438.

Contact Information

	Mrs Sarah Lynette Sandoval, NP
	509 Hamacher St Ste 103, Waterloo, IL 62298-1592
	(618) 939-2273
	(618) 939-0245

Map and Direction

Provider's Profile

Full Name	Mrs Sarah Lynette Sandoval
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	509 Hamacher St Ste 103, Waterloo, Illinois
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:

Mrs Sarah Lynette Sandoval graduated from nursing school in 2017

NPI Data:

NPI Number: 1093224438
Provider Enumeration Date: 09/28/2017
Last Update Date: 09/03/2019

Medicare PECOS Information:

PECOS PAC ID: 2567726979
Enrollment ID: I20200729003600

Medical Identifiers

Medical identifiers for Mrs Sarah Lynette Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093224438	NPI	-	NPPES
1649315219	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041427444 (Illinois)	Secondary
207QA0505X	Family Medicine - Adult Medicine	2012020830 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	209016207 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vivo Dermatology And Skin Surgery	4183052863	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. Mrs Sarah Lynette Sandoval allows following entities to bill medicare on her behalf.

Entity Name	Vivo Dermatology And Skin Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043857220 PECOS PAC ID: 4183052863 Enrollment ID: O20200311000695

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. Mrs Sarah Lynette 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
Mrs Sarah Lynette Sandoval, NP 220 Norma Ave, Waterloo, IL 62298-1528 Ph: () -	Mrs Sarah Lynette Sandoval, NP 509 Hamacher St Ste 103, Waterloo, IL 62298-1592 Ph: (618) 939-2273

Reviews and Comments

Nurse Practitioner Nurses in Waterloo, IL

Mr. Matthew Robert Jones, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 202, Waterloo, IL 62298 Phone: 618-939-4200 Fax: 618-939-4256
Courtney Mccarty, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 Fax: 618-939-0119
Ms. Carol Ann Glascock, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Station Xing, Waterloo, IL 62298 Phone: 618-939-1551 Fax: 618-939-1553
Stephanie Lynn Muertz, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6461 Old Orchard Ln, Waterloo, IL 62298 Phone: 618-340-1885
Megan Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112
Tracy M Hasler, RN ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St, Suite 103, Waterloo, IL 62298 Phone: 618-939-2273 Fax: 618-939-0245
Tiffany Hosp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 N Illinois Route 3, Waterloo, IL 62298 Phone: 313-948-3055

Mrs Sarah Lynette Sandoval, NP - Medicare Nurse Practitioner in Waterloo, IL