Sandy Michele Branson, APN is a medicare enrolled "Nurse Practitioner" in West Fork, Arkansas. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Roller Weight Loss Institute, Inc. and her current practice location is
425-a N. Centennial, West Fork, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 839-2670.
Sandy Michele Branson is licensed to practice in Arkansas (license number A02935) 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 1205030335.
Provider's Profile
| Full Name | Sandy Michele Branson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 425-a N. Centennial, West Fork, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandy Michele Branson graduated from nursing school in 2005
NPI Data:
- NPI Number: 1205030335
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 10/27/2009
Medicare PECOS Information:
- PECOS PAC ID: 1850469172
- Enrollment ID: I20081014000077
Medical Identifiers
Medical identifiers for Sandy Michele Branson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205030335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | A02935 (Arkansas) | Primary |
| 163W00000X | Registered Nurse | R66717 (Arkansas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Roller Weight Loss Institute, Inc. | 0446398770 | 20 |
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. Sandy Michele Branson allows following entities to bill medicare on her behalf.
| Entity Name | Roller Weight Loss Institute, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073743399
PECOS PAC ID: 0446398770
Enrollment ID: O20091106000368 |
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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. Sandy Michele Branson 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 |
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Sandy Michele Branson, APN
Po Box 1006,
West Fork, AR 72774-1006
Ph: (479) 839-2670 | Sandy Michele Branson, APN
425-a N. Centennial,
West Fork, AR 72774-1006
Ph: (479) 839-2670 |
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