Mrs Emily E Sandberg, PA-C is a medicare enrolled "Physician Assistant - Medical" in West Point, Utah. Her current practice location is
3110 W. 300 N., Ste A, West Point, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 614-5140.
Mrs Emily E Sandberg is licensed to practice in Utah (license number 60220351206) 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 1164440665.
Provider's Profile
| Full Name | Mrs Emily E Sandberg |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 3110 W. 300 N., West Point, Utah |
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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: 1164440665
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 6103844964
- Enrollment ID: I20051109001266
Medical Identifiers
Medical identifiers for Mrs Emily E Sandberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164440665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 60220351206 (Utah) | 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 Emily E Sandberg allows following entities to bill medicare on her behalf.
| Entity Name | Emergency Physicians Integrated Care LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
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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 Emily E Sandberg 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 Emily E Sandberg, PA-C 3110 W. 300 N., Ste A, West Point, UT 84015 Ph: (801) 614-5140 | Mrs Emily E Sandberg, PA-C 3110 W. 300 N., Ste A, West Point, UT 84015 Ph: (801) 614-5140 |
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