Sandra Lerdal, AGNP in Phoenix, AZ - Medicare Nurse Practitioner

Sandra Lerdal, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Phoenix, Arizona. Her current practice location is 13236 N 26th Pl, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (605) 929-7253.

Sandra Lerdal is licensed to practice in Arizona (license number AG11210010) 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 1487312187.

Contact Information

	Sandra Lerdal, AGNP
	13236 N 26th Pl, Phoenix, AZ 85032-5903
	(605) 929-7253
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandra Lerdal
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	13236 N 26th Pl, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487312187
Provider Enumeration Date: 11/30/2021
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 5395100374
Enrollment ID: I20230426001427

Medical Identifiers

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

Identifier	Type	State	Issuer
1487312187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AG11210010 (Arizona)	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 Lerdal allows following entities to bill medicare on her behalf.

Entity Name	Renew Medical Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043800345 PECOS PAC ID: 4082029707 Enrollment ID: O20210210002064

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 Lerdal 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 Lerdal, AGNP 7010 E Acoma Dr, Scottsdale, AZ 85254-3553 Ph: () -	Sandra Lerdal, AGNP 13236 N 26th Pl, Phoenix, AZ 85032-5903 Ph: (605) 929-7253

Reviews and Comments

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Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
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Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Sandra Lerdal, AGNP - Medicare Nurse Practitioner in Phoenix, AZ