Dr Jesse Sandoval, DO is a medicare enrolled "Phlebology" physician in Soldotna, Alaska. His current practice location is
245 N Binkley St Ste 101, Soldotna, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 714-4111.
Dr Jesse Sandoval is licensed to practice in Idaho (license number O124) 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 1972552271.
Physician's Profile
| Full Name | Dr Jesse Sandoval |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 245 N Binkley St Ste 101, Soldotna, Alaska |
|---|
| 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:
- Dr Jesse Sandoval attended and graduated from in
NPI Data:
- NPI Number: 1972552271
- Provider Enumeration Date: 05/06/2006
- Last Update Date: 12/19/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jesse Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972552271 | NPI | - | NPPES |
| S4620 | Other | ID | BLUE CROSS OF IDAHO |
| 200489062 | Other | ID | PRIMARY HEALTH NETWORK |
| 200489062 | Other | ID | TRICARE WEST |
| 0004676625 | Other | ID | AETNA |
| 200489062 | Other | ID | PRINCIPAL LIFE INSURANCE |
| 004314700 | Medicaid | ID | |
| 200489062 | Other | ID | MUTUAL OF OMAHA |
| 200489062 | Other | ID | HCS HEALTH CLAIMS SERVICE |
| 000010145826 | Other | ID | REGENCE BLUE SHEILD |
| 200489062 | Other | ID | UNITED HEALTH CARE |
| 200489062 | Other | ID | CIGNA HEALTH CARE |
| 200489062 | Other | ID | FIRST HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 0124 (Idaho) | Secondary |
| 202K00000X | Phlebology | O124 (Idaho) | 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. Dr Jesse 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 Address | Practice Location Address |
|---|
Dr Jesse Sandoval, DO
Po Box 7130,
Boise, ID 83707-1130
Ph: (208) 333-1472 | Dr Jesse Sandoval, DO
245 N Binkley St Ste 101,
Soldotna, AK 99669-7500
Ph: (907) 714-4111 |
Reviews and Comments