Adam Sanderson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Wpafb, Ohio. His current practice location is
4881 Sugar Maple Dr, Wpafb, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 257-9926.
Adam Sanderson is licensed to practice in * (Not Available) (license number ) 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 1962106401.
Physician's Profile
| Full Name | Adam Sanderson |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4881 Sugar Maple Dr, Wpafb, Ohio |
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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: 1962106401
- Provider Enumeration Date: 03/29/2023
- Last Update Date: 02/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 9830557966
- Enrollment ID: I20230622001902
Medical Identifiers
Medical identifiers for Adam Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962106401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 0102209168 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Adam Sanderson 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 |
Adam Sanderson, DO 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 257-9926 | Adam Sanderson, DO 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 257-9926 |
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