Ms Emily Burgess Sandfort, PA-C - Physician Assistant in Green Bay, WI

Ms Emily Burgess Sandfort, PA-C is a Physician Assistant based in Green Bay, Wisconsin. Ms Emily Burgess Sandfort is licensed to practice in Oregon (license number PA173023) and her current practice location is 835 S Van Buren St, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 294-8828.

NPI number for Ms Emily Burgess Sandfort is 1770835415 and her current mailing address is 376 Chase Ave, De Pere, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770835415.

Contact Information

Ms Emily Burgess Sandfort, PA-C
835 S Van Buren St,
Green Bay, WI 54301-3526
(414) 294-8828
Not Available

Map and Direction




Provider's Profile

Full NameMs Emily Burgess Sandfort
GenderFemale
SpecialityPhysician Assistant
Location835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770835415
  • Provider Enumeration Date: 10/04/2012
  • Last Update Date: 12/28/2021

Medical Identifiers

Medical identifiers for Ms Emily Burgess Sandfort such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770835415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA173023 (Oregon)Primary
363A00000XPhysician Assistant MA055740 (Pennsylvania)Secondary
363AS0400XPhysician Assistant - Surgical 3100-23 (Wisconsin)Secondary

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. Ms Emily Burgess Sandfort is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Emily Burgess Sandfort, PA-C
376 Chase Ave,
De Pere, WI 54115-4071

Ph: (414) 294-8288
Ms Emily Burgess Sandfort, PA-C
835 S Van Buren St,
Green Bay, WI 54301-3526

Ph: (414) 294-8828

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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