Jesse David Sanders Jr, MD is a medicare enrolled "Family Medicine" physician in Pacoima, California. He went to Stanford University School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeast Valley Health Corporation and his current practice location is
12756 Van Nuys Blvd, Pacoima, California. You can reach out to his office (for appointments etc.) via phone at
(818) 896-0531.
Jesse David Sanders Jr is licensed to practice in California (license number G55931) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1497756555.
Physician's Profile
| Full Name | Jesse David Sanders Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 42 Years |
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| Location | 12756 Van Nuys Blvd, Pacoima, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jesse David Sanders Jr attended and graduated from Stanford University School Of Medicine in 1982
NPI Data:
- NPI Number: 1497756555
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648265710
- Enrollment ID: I20040417000538
Medical Identifiers
Medical identifiers for Jesse David Sanders Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497756555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | G55931 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Valley Health Corporation | 3173517323 | 65 |
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. Jesse David Sanders Jr allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Valley Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629079009
PECOS PAC ID: 3173517323
Enrollment ID: O20040412001067 |
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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. Jesse David Sanders Jr 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 |
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Jesse David Sanders Jr, MD
1172 N Maclay Ave,
San Fernando, CA 91340-1328
Ph: (818) 898-1388 | Jesse David Sanders Jr, MD
12756 Van Nuys Blvd,
Pacoima, CA 91331-1626
Ph: (818) 896-0531 |
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