Jacob Sandefur, is a medicare enrolled "Nurse Practitioner - Family" in North Little, Arkansas. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Orthoarkansas, Pa and his current practice location is
3840 Landers Road, North Little, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 500-3500.
Jacob Sandefur is licensed to practice in Arkansas (license number 216212) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942870316.
Provider's Profile
| Full Name | Jacob Sandefur |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 3840 Landers Road, North Little, Arkansas |
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| Accepts Medicare Assignments | Yes. He 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:
- Jacob Sandefur graduated from nursing school in 2021
NPI Data:
- NPI Number: 1942870316
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729480140
- Enrollment ID: I20210708000164
Medical Identifiers
Medical identifiers for Jacob Sandefur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942870316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 216212 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orthoarkansas, Pa | 1456256031 | 110 |
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. Jacob Sandefur allows following entities to bill medicare on his behalf.
| Entity Name | Orthoarkansas, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952336869
PECOS PAC ID: 1456256031
Enrollment ID: O20031205000490 |
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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. Jacob Sandefur 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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Jacob Sandefur,
800 Fair Park Blvd,
Little Rock, AR 72204-1720
Ph: (501) 500-3500 | Jacob Sandefur,
3840 Landers Road,
North Little, AR 72117
Ph: (501) 500-3500 |
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