Dr Sandra M Fakult, MD is a medicare enrolled "Internal Medicine" physician in Orange Village, Ohio. Her current practice location is
3909 Orange Pl, #2100, Orange Village, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 896-1800.
Dr Sandra M Fakult is licensed to practice in Ohio (license number 35-069995) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881636462.
Physician's Profile
Full Name | Dr Sandra M Fakult |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 3909 Orange Pl, Orange Village, 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: 1881636462
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 11/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 6204812787
- Enrollment ID: I20040625000469
Medical Identifiers
Medical identifiers for Dr Sandra M Fakult such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881636462 | NPI | - | NPPES |
2100032 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 35-069995 (Ohio) | Primary |
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 Sandra M Fakult allows following entities to bill medicare on her behalf.
Entity Name | American Current Care Of Ohio Pa Co |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023292943 PECOS PAC ID: 0042356073 Enrollment ID: O20091006000303 |
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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 Sandra M Fakult 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 Sandra M Fakult, MD Po Box 74224, Cleveland, OH 44194-0002 Ph: (216) 383-6480 | Dr Sandra M Fakult, MD 3909 Orange Pl, #2100, Orange Village, OH 44122-4478 Ph: (216) 896-1800 |
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