Daniel M Sandgren, DO - Medicare Pediatrics in Logan, UT

Daniel M Sandgren, DO is a medicare enrolled "Pediatrics" physician in Logan, Utah. His current practice location is 1350 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 792-1940.

Daniel M Sandgren is licensed to practice in Utah (license number 9681578-1204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669714341.

Contact Information

Daniel M Sandgren, DO
1350 N 500 E,
Logan, UT 84341-2400
(435) 792-1940
Not Available



Physician's Profile

Full NameDaniel M Sandgren
GenderMale
SpecialityPediatrics
Location1350 N 500 E, Logan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669714341
  • Provider Enumeration Date: 03/20/2013
  • Last Update Date: 02/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2062648439
  • Enrollment ID: I20160531001719

Medical Identifiers

Medical identifiers for Daniel M Sandgren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669714341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 9681578-1204 (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. Daniel M Sandgren allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Daniel M Sandgren 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 AddressPractice Location Address
Daniel M Sandgren, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Daniel M Sandgren, DO
1350 N 500 E,
Logan, UT 84341-2400

Ph: (435) 792-1940

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Pediatrics Doctors in Logan, UT

Nordell T Brown, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1940    
Russel T Mckenna, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341
Phone: 435-750-5599    Fax: 435-750-0861
Prafulla Martin-garg, MD, FAAP
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1940    
Scott D Dickson, D.O.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-716-1820    Fax: 435-716-1693
John Dennis Odell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1940    
Cason James Wortley, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2245 N 400 E Ste 202, Logan, UT 84341
Phone: 435-753-7337    

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