Clyde Fagg Sanford Iii, MD in Tyler, TX - Medicare Cardiovascular Disease (cardiology)

Clyde Fagg Sanford Iii, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Tyler, Texas. He went to Washington University School Of Medicine and graduated in 1977 and has 48 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Christus Trinity Clinic and his current practice location is 703 S Fleishel Ave, Ste 4000, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 606-7000.

Clyde Fagg Sanford Iii is licensed to practice in Texas (license number E9970) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528053857.

Contact Information

	Clyde Fagg Sanford Iii, MD
	703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015
	(903) 606-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Clyde Fagg Sanford Iii
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	48 Years
Location	703 S Fleishel Ave, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clyde Fagg Sanford Iii attended and graduated from Washington University School Of Medicine in 1977

NPI Data:

NPI Number: 1528053857
Provider Enumeration Date: 09/13/2005
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7315842317
Enrollment ID: I20100316000739

Medical Identifiers

Medical identifiers for Clyde Fagg Sanford Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528053857	NPI	-	NPPES
128834206	Medicaid	TX
4538099	Other	TX	AETNA
038665009	Other	TX	UNITED HEALTHCARE
128834202	Medicaid	TX
089421J	Other	TX	BCBS
752616977007	Other	TX	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	E9970 (Texas)	Primary
207RI0011X	Internal Medicine - Interventional Cardiology	E9970 (Texas)	Secondary
207R00000X	Internal Medicine	E9970 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus St Michael Health System	Texarkana, TX	Hospital
Christus Mother Frances Hospital- Jacksonville	Jacksonville, TX	Hospital
Christus Mother Frances Hospital Sulphur Springs	Sulphur springs, TX	Hospital
Christus Mother Frances Hospital- Winnsboro	Winnsboro, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1246

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. Clyde Fagg Sanford Iii allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	University Of Texas Health Science Center At Tyler-facility-physician
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048

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. Clyde Fagg Sanford Iii 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
Clyde Fagg Sanford Iii, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450	Clyde Fagg Sanford Iii, MD 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 Ph: (903) 606-7000

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Rodolfo Amaro-galvez, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838

Clyde Fagg Sanford Iii, MD - Medicare Cardiovascular Disease (cardiology) in Tyler, TX