Dr Sandra Nicole Jackson Dent, MD - Medicare Family Practice in Snellville, GA

Dr Sandra Nicole Jackson Dent, MD is a medicare enrolled "Internal Medicine" physician in Snellville, Georgia. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 2240 Fountain Dr, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 978-5000.

Dr Sandra Nicole Jackson Dent is licensed to practice in Illinois (license number 336.091542) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063640563.

Contact Information

Dr Sandra Nicole Jackson Dent, MD
2240 Fountain Dr,
Snellville, GA 30078-2919
(770) 978-5000
Not Available



Physician's Profile

Full NameDr Sandra Nicole Jackson Dent
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location2240 Fountain Dr, Snellville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sandra Nicole Jackson Dent graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1063640563
  • Provider Enumeration Date: 06/23/2009
  • Last Update Date: 01/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476708967
  • Enrollment ID: I20171213000558

Medical Identifiers

Medical identifiers for Dr Sandra Nicole Jackson Dent such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063640563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 336.091542 (Illinois)Secondary
207R00000XInternal Medicine 336.091542 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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. Dr Sandra Nicole Jackson Dent allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Dr Sandra Nicole Jackson Dent 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
Dr Sandra Nicole Jackson Dent, MD
2240 Fountain Dr,
Snellville, GA 30078-2919

Ph: (770) 978-5000
Dr Sandra Nicole Jackson Dent, MD
2240 Fountain Dr,
Snellville, GA 30078-2919

Ph: (770) 978-5000

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Internal Medicine Doctors in Snellville, GA

Sheryl C De La Motta-murray, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3555 Centerville Hwy, Ste 100, Snellville, GA 30039
Phone: 770-985-9957    Fax: 770-985-9959
Amsel Melka Siore, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Tree Lane Road, Suite 200, Snellville, GA 30078
Phone: 770-979-0367    Fax: 770-979-1830
Dr. Shashank Kailash, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2386 Clower St Ste C105, Snellville, GA 30078
Phone: 678-344-0334    Fax: 678-344-0343
Dr. Chirag Shrikant Kulahalli, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Medical Way, Snellville, GA 30078
Phone: 770-979-0200    
Omar S Jalil, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2295 Ronald Reagan Pkwy, Snellville, GA 30078
Phone: 770-982-2331    Fax: 770-972-4104
Sayed Mohd Aamir, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1800 Tree Ln Ste 190, Snellville, GA 30078
Phone: 770-545-8435    Fax: 770-545-8436
Ali Saligheh Araghi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Tree Ln Ste 320, Snellville, GA 30078
Phone: 770-284-3043    Fax: 888-814-0930

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