Michelle Sandlin, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in O Fallon, Illinois. Her current practice location is
3 Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 233-6044.
Michelle Sandlin is licensed to practice in Illinois (license number 20919119) 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 1265994438.
Physician's Profile
| Full Name | Michelle Sandlin |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3 Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1265994438
- Provider Enumeration Date: 04/04/2019
- Last Update Date: 11/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688900830
- Enrollment ID: I20200608001812
Medical Identifiers
Medical identifiers for Michelle Sandlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265994438 | NPI | - | NPPES |
| F02191181 | Other | | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 20919119 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2019007528 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 20919119 (Illinois) | 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. Michelle Sandlin allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic Springfield Communities |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060 |
|---|
| Entity Name | Mercy Clinic Springfield Communities |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354 |
|---|
| Entity Name | Mercy Aco Clinical Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063965093
PECOS PAC ID: 6901188572
Enrollment ID: O20170117001888 |
|---|
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. Michelle Sandlin 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 |
|---|
Michelle Sandlin, FNP
3 Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282
Ph: (618) 233-6044 | Michelle Sandlin, FNP
3 Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282
Ph: (618) 233-6044 |
Reviews and Comments