DR. CARLA J SAND M.D NPI 1639183122

Family Medicine in Crownpoint, NM

NPI 1639183122 Individual Female Years of Experience 19 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About CARLA SAND

Carla Sand is a primary care provider established in Crownpoint, New Mexico and her medical specialization is family medicine with more than 19 years of experience. She graduated from University Of New Mexico School Of Medicine in 2003. The NPI number of Carla Sand is 1639183122 and was assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD-2013-0924 (NM). The provider is registered as an individual and her NPI record was last updated 8 years ago.

A primary care provider (PCP) like Dr. Carla J Sand M.d sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Carla Sand is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Carla Sand is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Crownpoint Phs Indian Hospital and Cibola General Hospital.

NPI

1639183122

Provider NameDR. CARLA J SAND M.D
Provider Location Address3 NAVARRE BLVD THOREAU CLINIC CROWNPOINT, NM 87313
Provider Mailing AddressPO BOX 3688 MILAN, NM 87021
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-28-2006
Last Update Date03-25-2014


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD-2013-0924
License StateNM
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. CARLA J SAND M.D
3 NAVARRE BLVD
THOREAU CLINIC
CROWNPOINT, NM
ZIP 87313
Phone: (505) 786-5291
Fax: (505) 786-6440

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Mailing Address

DR. CARLA J SAND M.D
PO BOX 3688
MILAN, NM
ZIP 87021
Phone: (541) 224-4077



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7416955471
PECOS Enrollment IDI20070718000714
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Carla Sand is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CROWNPOINT PHS INDIAN HOSPITALJUNCTION OF HWY 371
CROWNPOINT, NM 87313
(505) 786-5291Acute Care Hospitals320062
CIBOLA GENERAL HOSPITAL1016 E ROOSEVELT AVENUE
GRANTS, NM 87020
(505) 287-5300Critical Access Hospitals321308

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.