Karen C Sandbach, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Jacksonville, Florida. Her current practice location is
1650 Prudential Dr Ste 210, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 376-3800.
Karen C Sandbach is licensed to practice in Florida (license number PY 8871) 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 1083846414.
Healthcare Provider's Profile
Full Name | Karen C Sandbach |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 1650 Prudential Dr Ste 210, Jacksonville, Florida |
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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: 1083846414
- Provider Enumeration Date: 08/18/2009
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224265855
- Enrollment ID: I20131205001398
Medical Identifiers
Medical identifiers for Karen C Sandbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083846414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 1224 (New Mexico) | Secondary |
103T00000X | Psychologist | 0810004652 (Virginia) | Secondary |
103G00000X | Clinical Neuropsychologist | PY 8871 (Florida) | 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. Karen C Sandbach allows following entities to bill medicare on her behalf.
Entity Name | Baptist Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215906649 PECOS PAC ID: 7315166394 Enrollment ID: O20140924001767 |
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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. Karen C Sandbach 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 |
Karen C Sandbach, PHD Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800 | Karen C Sandbach, PHD 1650 Prudential Dr Ste 210, Jacksonville, FL 32207-8149 Ph: (904) 376-3800 |
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