Carlos R Sandoval-martinez, MD - Medicare Family Practice in Shippensburg, PA

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Carlos R Sandoval-martinez, MD is a medicare enrolled "Family Medicine" physician in Shippensburg, Pennsylvania. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wellspan Medical Group, Summit Physician Services, Medexpress Urgent Care Pc - Pennsylvania and his current practice location is 46 Walnut Bottom Rd Ste 100, Shippensburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 477-2764.

Carlos R Sandoval-martinez is licensed to practice in Pennsylvania (license number MD430665) 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 1851438782.

Contact Information

Carlos R Sandoval-martinez, MD
46 Walnut Bottom Rd Ste 100,
Shippensburg, PA 17257-8219
(717) 477-2764
(717) 217-4207

Map and Direction




Physician's Profile

Full NameCarlos R Sandoval-martinez
GenderMale
SpecialityFamily Practice
Experience24 Years
Location46 Walnut Bottom Rd Ste 100, Shippensburg, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlos R Sandoval-martinez graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1851438782
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 08/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577660653
  • Enrollment ID: I20070524000366

Medical Identifiers

Medical identifiers for Carlos R Sandoval-martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851438782NPI-NPPES
101888092MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD430665 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chambersburg HospitalChambersburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131151946
Summit Physician Services5496659484353
Medexpress Urgent Care Pc - Pennsylvania8224181482234

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. Carlos R Sandoval-martinez allows following entities to bill medicare on his behalf.
Entity NameSummit Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306840814
PECOS PAC ID: 5496659484
Enrollment ID: O20031121000259
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815
Entity NameMedexpress Urgent Care Pc - Pennsylvania
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982839031
PECOS PAC ID: 8224181482
Enrollment ID: O20090805000511

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. Carlos R Sandoval-martinez 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
Carlos R Sandoval-martinez, MD
785 5th Ave Ste 3,
Chambersburg, PA 17201-4232

Ph: (717) 263-9555		Carlos R Sandoval-martinez, MD
46 Walnut Bottom Rd Ste 100,
Shippensburg, PA 17257-8219

Ph: (717) 477-2764

Reviews and Comments


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Dr. Derwood Lynn Stetson, M.D.
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Carly Ann Washabaugh, CRNP
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Practice Location: 46 Walnut Bottom Rd, Shippensburg, PA 17257
Phone: 717-477-2764    Fax: 717-839-6951

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.