Sandra L Souza, MD in Dublin, GA - Medicare Family Medicine

Sandra L Souza, MD is a medicare enrolled "Family Medicine" physician in Dublin, Georgia. Her current practice location is 2121a Bellevue Rd, Dublin, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 272-1190.

Sandra L Souza is licensed to practice in Georgia (license number 039476) 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 1043203839.

Contact Information

	Sandra L Souza, MD
	2121a Bellevue Rd, Dublin, GA 31021-2998
	(478) 272-1190
	(478) 274-7628

Map and Direction

Physician's Profile

Full Name	Sandra L Souza
Gender	Female
Speciality	Family Medicine
Location	2121a Bellevue Rd, Dublin, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043203839
Provider Enumeration Date: 08/26/2005
Last Update Date: 03/09/2026

Medicare PECOS Information:

PECOS PAC ID: 0042388225
Enrollment ID: I20081002000009

Medical Identifiers

Medical identifiers for Sandra L Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043203839	NPI	-	NPPES
000606284H	Medicaid	GA
000666113D	Medicaid	GA
300030912A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	39476 (Georgia)	Secondary
207Q00000X	Family Medicine	039476 (Georgia)	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. Sandra L Souza allows following entities to bill medicare on her behalf.

Entity Name	Community Service Board Of Middle Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689657637 PECOS PAC ID: 3173518644 Enrollment ID: O20040415000940

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. Sandra L Souza 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
Sandra L Souza, MD 1101 E Hillcrest Pkwy, Dublin, GA 31021-2998 Ph: (478) 205-5517	Sandra L Souza, MD 2121a Bellevue Rd, Dublin, GA 31021-2998 Ph: (478) 272-1190

Reviews and Comments

Family Medicine Doctors in Dublin, GA

Qiuping A Pan, Family Medicine Medicare: Medicare Enrolled Practice Location: 1826 Veteran Blvd, Dublin, GA 31021 Phone: 478-272-1210
Dr. William Dennis Taylor Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 160 Spring Branch Dr, Dublin, GA 31021 Phone: 478-274-8489
Kirkland Bain Kolbie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 Hillcrest Pkwy, Dublin, GA 31021 Phone: 478-272-7411 Fax: 478-274-9809
David L Tate, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 Hillcrest Pkwy, Dublin, GA 31021 Phone: 478-272-7411 Fax: 478-274-9809
Dr. Donald Anthony Davis, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 206 Hospital Dr Ste B, Dublin, GA 31021 Phone: 478-237-7855
Nicola Presley Revills, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd, Dublin, GA 31021 Phone: 478-274-3925
Mrs. Michelle Lynne Deeves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 Hillcrest Parkway, Dublin, GA 31021 Phone: 478-272-7411 Fax: 478-274-9809

Sandra L Souza, MD - Medicare Family Medicine in Dublin, GA