Ms Sandra Dodge, APRN,BC in Chinle, AZ - Medicare Nurse Practitioner

Ms Sandra Dodge, APRN,BC is a medicare enrolled "Nurse Practitioner" in Chinle, Arizona. Her current practice location is Highway 191 And Ph Drive, Chinle, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 674-7420.

Ms Sandra Dodge is licensed to practice in New Mexico (license number R18238) 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 1558399113.

Contact Information

	Ms Sandra Dodge, APRN,BC
	Highway 191 And Ph Drive, Chinle, AZ 86503
	(928) 674-7420
	(928) 674-7461

Map and Direction

Provider's Profile

Full Name	Ms Sandra Dodge
Gender	Female
Speciality	Nurse Practitioner
Location	Highway 191 And Ph Drive, Chinle, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558399113
Provider Enumeration Date: 06/30/2006
Last Update Date: 03/15/2011

Medicare PECOS Information:

PECOS PAC ID: 3476455296
Enrollment ID: I20040122000901

Medical Identifiers

Medical identifiers for Ms Sandra Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558399113	NPI	-	NPPES
3102957	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R18238 (New Mexico)	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. Ms Sandra Dodge allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

Entity Name	Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210

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. Ms Sandra Dodge 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
Ms Sandra Dodge, APRN,BC Po Box Ph, Cchcf, Chinle, AZ 86503 Ph: (928) 674-7420	Ms Sandra Dodge, APRN,BC Highway 191 And Ph Drive, Chinle, AZ 86503 Ph: (928) 674-7420

Reviews and Comments

Nurse Practitioner Nurses in Chinle, AZ

Jacqueline Selig, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705
Gail Ratko, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705
Samantha Austin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: U.s. 191 & Hospital Drive, Chinle, AZ 86503 Phone: 928-674-7001
Ms. Annie R. Moon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Off Hwy 191 Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705
Henrietta J Yazzie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Highway 191, Chinle, AZ 86503 Phone: 928-674-7001

Ms Sandra Dodge, APRN,BC - Medicare Nurse Practitioner in Chinle, AZ