Cody Jo Sanford, APRN is a medicare enrolled "Nurse Practitioner - Family" in De Kalb, Texas. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dekalb Physicians Clinic Llc and her current practice location is
216 N Centre St, De Kalb, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 667-2273.
Cody Jo Sanford is licensed to practice in Texas (license number 1029700) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740886704.
Provider's Profile
| Full Name | Cody Jo Sanford |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 216 N Centre St, De Kalb, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cody Jo Sanford graduated from nursing school in 2020
NPI Data:
- NPI Number: 1740886704
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 10/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002261054
- Enrollment ID: I20231011000354
Medical Identifiers
Medical identifiers for Cody Jo Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740886704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 872128 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1029700 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dekalb Physicians Clinic Llc | 0244264216 | 2 |
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. Cody Jo Sanford allows following entities to bill medicare on her behalf.
| Entity Name | Dekalb Physicians Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265565691
PECOS PAC ID: 0244264216
Enrollment ID: O20050920000946 |
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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. Cody Jo Sanford 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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Cody Jo Sanford, APRN
216 N Centre St,
De Kalb, TX 75559-1406
Ph: (903) 667-2273 | Cody Jo Sanford, APRN
216 N Centre St,
De Kalb, TX 75559-1406
Ph: (903) 667-2273 |
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