Mrs Sandra Samantha Zaffuto, APRN, FNP-C is a medicare enrolled "General Practice" physician in Ponte Vedra, Florida. Her current practice location is
208 Senegal Dr, Ponte Vedra, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 294-3310.
Mrs Sandra Samantha Zaffuto is licensed to practice in Florida (license number 11026162) 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 1396434254.
Physician's Profile
| Full Name | Mrs Sandra Samantha Zaffuto |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 208 Senegal Dr, Ponte Vedra, Florida |
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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: 1396434254
- Provider Enumeration Date: 05/04/2023
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951820844
- Enrollment ID: I20250523000376
Medical Identifiers
Medical identifiers for Mrs Sandra Samantha Zaffuto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396434254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 11026162 (Florida) | 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 Samantha Zaffuto allows following entities to bill medicare on her behalf.
| Entity Name | Select Health And Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780475012 PECOS PAC ID: 4385163278 Enrollment ID: O20250523000127 |
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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 Samantha Zaffuto 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 Samantha Zaffuto, APRN, FNP-C 208 Senegal Dr, Ponte Vedra, FL 32081-6087 Ph: (904) 294-3310 | Mrs Sandra Samantha Zaffuto, APRN, FNP-C 208 Senegal Dr, Ponte Vedra, FL 32081-6087 Ph: (904) 294-3310 |
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