Mrs Sandra Ann Farnum, NP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Myrtle Beach, South Carolina. Her current practice location is
4710 Oleander Dr, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 823-6800.
Mrs Sandra Ann Farnum is licensed to practice in Virginia (license number 0024173052) 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 1710343199.
Physician's Profile
| Full Name | Mrs Sandra Ann Farnum |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 4710 Oleander Dr, Myrtle Beach, South Carolina |
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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: 1710343199
- Provider Enumeration Date: 01/14/2016
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395040851
- Enrollment ID: I20221208001528
Medical Identifiers
Medical identifiers for Mrs Sandra Ann Farnum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710343199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 0024173052 (Virginia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0024173052 (Virginia) | 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. Mrs Sandra Ann Farnum allows following entities to bill medicare on her behalf.
| Entity Name | Dunes Pain Relief Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235731605 PECOS PAC ID: 7719394386 Enrollment ID: O20210326000123 |
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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. Mrs Sandra Ann Farnum 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 |
Mrs Sandra Ann Farnum, NP 4710 Oleander Dr, Myrtle Beach, SC 29577-5898 Ph: (843) 823-6800 | Mrs Sandra Ann Farnum, NP 4710 Oleander Dr, Myrtle Beach, SC 29577-5898 Ph: (843) 823-6800 |
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