Sybil Lee Sandoval, MD - Medicare Internal Medicine in Avon, CT

Sybil Lee Sandoval, MD is a medicare enrolled "Internal Medicine" physician in Avon, Connecticut. She went to State University Of Ny Upstate Medical University and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Prime Healthcare, Pc and her current practice location is 44 Dale Rd, Prime Healthcare, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 674-8830.

Sybil Lee Sandoval is licensed to practice in Connecticut (license number 032256) 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 1407833106.

Contact Information

Sybil Lee Sandoval, MD
44 Dale Rd, Prime Healthcare,
Avon, CT 06001-3612
(860) 674-8830
(860) 674-8984



Physician's Profile

Full NameSybil Lee Sandoval
GenderFemale
SpecialityInternal Medicine
Experience35 Years
Location44 Dale Rd, Avon, Connecticut
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:
  • Sybil Lee Sandoval attended and graduated from State University Of Ny Upstate Medical University in 1989
  NPI Data:
  • NPI Number: 1407833106
  • Provider Enumeration Date: 12/23/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890834832
  • Enrollment ID: I20091203000515

Medical Identifiers

Medical identifiers for Sybil Lee Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407833106NPI-NPPES
032256OtherCTMEDICAL LICENSE
010032256CT03OtherCTBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 032256 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prime Healthcare, Pc670978793080

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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. Sybil Lee Sandoval allows following entities to bill medicare on her behalf.
Entity NamePrime Healthcare, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184819302
PECOS PAC ID: 6709787930
Enrollment ID: O20040121000411

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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. Sybil Lee Sandoval 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
Sybil Lee Sandoval, MD
30 Jordan Ln, Prime Healthcare,
Wethersfield, CT 06109-1278

Ph: (860) 263-0253
Sybil Lee Sandoval, MD
44 Dale Rd, Prime Healthcare,
Avon, CT 06001-3612

Ph: (860) 674-8830

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Internal Medicine Doctors in Avon, CT

Dr. Chi H Kim, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Simsbury Rd, Suite 203, Avon, CT 06001
Phone: 860-284-5111    Fax: 860-254-5114
Carol Petruff, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44 Dale Rd, Prime Healthcare, Avon, CT 06001
Phone: 860-674-8830    Fax: 860-674-8984
Anthony Zaldonis, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44 Dale Rd, Prime Healthcare, Avon, CT 06001
Phone: 860-674-8830    Fax: 860-674-8984
Marie Dam, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 35 Tower Ln, Suite 103, Avon, CT 06001
Phone: 860-921-3345    Fax: 860-201-1041
Dr. Julie Ann Vernon, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 62 Northgate, Avon, CT 06001
Phone: 860-675-0542    
Lisa Marie Gronski, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 339 W Main St, Avon, CT 06001
Phone: 860-696-2150    Fax: 860-696-2160
Paul P Stroebel, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 236 Cold Spring Road, Avon, CT 06001
Phone: 860-673-0882    

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