Matthew Sandridge, DO is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Holloman Afb, New Mexico. His current practice location is
280 1st St, Holloman Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 572-2778.
Matthew Sandridge is licensed to practice in Virginia (license number 0102203890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215361449.
Physician's Profile
Full Name | Matthew Sandridge |
---|
Gender | Male |
---|
Speciality | Preventive Medicine - Aerospace Medicine |
---|
Location | 280 1st St, Holloman Afb, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215361449
- Provider Enumeration Date: 08/23/2013
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416393673
- Enrollment ID: I20240311000143
Medical Identifiers
Medical identifiers for Matthew Sandridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215361449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083A0100X | Preventive Medicine - Aerospace Medicine | 0102203890 (Virginia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Matthew Sandridge 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 |
Matthew Sandridge, DO 2315 Stockton Blvd # Op512, Sacramento, CA 95817-2201 Ph: (916) 734-2724 | Matthew Sandridge, DO 280 1st St, Holloman Afb, NM 88330-8273 Ph: (575) 572-2778 |
Reviews and Comments