Omar Sandoval, LPC - Medicare Counselor in Hidalgo, TX

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Omar Sandoval, LPC is a medicare enrolled "Counselor - Professional" provider in Hidalgo, Texas. His current practice location is 417 31st St, Hidalgo, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 320-7809.

Omar Sandoval is licensed to practice in Texas (license number 78354) 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 1861906539.

Contact Information

Omar Sandoval, LPC
417 31st St,
Hidalgo, TX 78557-3621
(956) 320-7809
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameOmar Sandoval
GenderMale
SpecialityCounselor - Professional
Location417 31st St, Hidalgo, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861906539
  • Provider Enumeration Date: 11/16/2017
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577903327
  • Enrollment ID: I20240426003506

Medical Identifiers

Medical identifiers for Omar Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861906539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 78354 (Texas)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. Omar Sandoval allows following entities to bill medicare on his behalf.
Entity NameGrow Healthcare Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220525002138

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. Omar Sandoval 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 AddressPractice Location Address
Omar Sandoval, LPC
417 31st St,
Hidalgo, TX 78557-3621

Ph: (956) 320-7809		Omar Sandoval, LPC
417 31st St,
Hidalgo, TX 78557-3621

Ph: (956) 320-7809

Reviews and Comments


Counselor in Hidalgo, TX

Jose Antonio Rosillo Jr., LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3002 Granjeno Ave, Hidalgo, TX 78557
Phone: 956-212-3679    
Maria Del Carmen Trevino, LPC A
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1902 Esperanza Ave, Hidalgo, TX 78557
Phone: 956-503-2592    
Liza Molina, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1205 33rd St, Hidalgo, TX 78557
Phone: 956-884-8389    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.