Caron Renee Sandefur, LICSW-S PIP is a medicare enrolled "Social Worker - Clinical" provider in Gardendale, Alabama. Her current practice location is
1501 Decatur Hwy Ste 101, Gardendale, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 914-6794.
Caron Renee Sandefur is licensed to practice in Alabama (license number 1183C-S) 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 1467247544.
Healthcare Provider's Profile
Full Name | Caron Renee Sandefur |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1501 Decatur Hwy Ste 101, Gardendale, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467247544
- Provider Enumeration Date: 04/10/2025
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062939168
- Enrollment ID: I20250512001137
Medical Identifiers
Medical identifiers for Caron Renee Sandefur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467247544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1183C-S (Alabama) | 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. Caron Renee Sandefur allows following entities to bill medicare on her behalf.
Entity Name | Integrative Health Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417355504 PECOS PAC ID: 0648503615 Enrollment ID: O20190605003133 |
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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. Caron Renee Sandefur 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 |
Caron Renee Sandefur, LICSW-S PIP 8980 Pritchett Rd, Gardendale, AL 35071-3254 Ph: (205) 914-6794 | Caron Renee Sandefur, LICSW-S PIP 1501 Decatur Hwy Ste 101, Gardendale, AL 35071-3857 Ph: (205) 914-6794 |
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