Sandra B Wooten, in Orange Park, FL - Medicare Nurse Practitioner

Sandra B Wooten, is a medicare enrolled "Nurse Practitioner - Family" in Orange Park, Florida. Her current practice location is 2001 Kingsley Ave, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 639-8500.

Sandra B Wooten is licensed to practice in Florida (license number 11016649) 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 1811654536.

Contact Information

	Sandra B Wooten,
	2001 Kingsley Ave, Orange Park, FL 32073-5148
	(904) 639-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandra B Wooten
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2001 Kingsley Ave, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811654536
Provider Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 8325414857
Enrollment ID: I20221025000159

Medical Identifiers

Medical identifiers for Sandra B Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811654536	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11016649 (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. Sandra B Wooten allows following entities to bill medicare on her behalf.

Entity Name	Memorial Family Practice Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077

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. Sandra B Wooten 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
Sandra B Wooten, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: () -	Sandra B Wooten, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-8500

Reviews and Comments

Nurse Practitioner Nurses in Orange Park, FL

Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780
Erica Devetia Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1536 Kingsley Ave Ste 117, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769

Sandra B Wooten, - Medicare Nurse Practitioner in Orange Park, FL