Dr Cody James Sanderson, MD in Shreveport, LA - Medicare Orthopaedic Surgery

Dr Cody James Sanderson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Shreveport, Louisiana. His current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-0000.

Dr Cody James Sanderson is licensed to practice in Louisiana (license number 342231) 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 1275064560.

Contact Information

	Dr Cody James Sanderson, MD
	1541 Kings Hwy, Shreveport, LA 71103-4228
	(318) 626-0000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Cody James Sanderson
Gender	Male
Speciality	Orthopaedic Surgery
Location	1541 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275064560
Provider Enumeration Date: 03/27/2017
Last Update Date: 02/06/2026

Medicare PECOS Information:

PECOS PAC ID: 6204100183
Enrollment ID: I20221004003328

Medical Identifiers

Medical identifiers for Dr Cody James Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275064560	NPI	-	NPPES
200111990	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	342231 (Louisiana)	Primary
207XP3100X	Orthopaedic Surgery - Pediatric Orthopaedic Surgery	2022010832 (Missouri)	Secondary

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. Dr Cody James Sanderson allows following entities to bill medicare on his behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679516033 PECOS PAC ID: 9830008770 Enrollment ID: O20040420000704

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. Dr Cody James 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
Dr Cody James Sanderson, MD 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, LA 71103-4228 Ph: () -	Dr Cody James Sanderson, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000

Reviews and Comments

Orthopaedic Surgery Doctors in Shreveport, LA

Dr. Robert Walter Rutz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 337-529-6409
Marjorie R Chelly, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Dr. Carlton Gregory Houtz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 Phone: 318-798-4623 Fax: 318-798-4668
Dr. Mario H Lobao Goncalves, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Christopher Wilson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-4313
Benjamin Marcus Feibel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 Phone: 318-798-4623
John Marshall Haynie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Ave, Suite 100, Shreveport, LA 71101 Phone: 318-635-3052 Fax: 318-635-3072

Dr Cody James Sanderson, MD - Medicare Orthopaedic Surgery in Shreveport, LA