Shauna Lynn Sandford, NP is a medicare enrolled "Clinical Nurse Specialist - Women's Health" in St Augustine, Florida. Her current practice location is
1301 Plantation Island Dr S Ste 103, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 461-5330.
Shauna Lynn Sandford is licensed to practice in Florida (license number APRN11010920) 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 1104372564.
Provider's Profile
| Full Name | Shauna Lynn Sandford |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Women's Health |
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| Location | 1301 Plantation Island Dr S Ste 103, St Augustine, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104372564
- Provider Enumeration Date: 08/26/2016
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608256698
- Enrollment ID: I20220708000495
Medical Identifiers
Medical identifiers for Shauna Lynn Sandford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104372564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.0205262 (Colorado) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | APN.099058-NP (Colorado) | Secondary |
| 364SW0102X | Clinical Nurse Specialist - Women's Health | APRN11010920 (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. Shauna Lynn Sandford allows following entities to bill medicare on her behalf.
| Entity Name | Vitalmd Group Holding Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871572032
PECOS PAC ID: 8921091786
Enrollment ID: O20040406001878 |
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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. Shauna Lynn Sandford 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 |
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Shauna Lynn Sandford, NP
685 Natureland Cir,
Saint Augustine, FL 32092-3309
Ph: (303) 667-5019 | Shauna Lynn Sandford, NP
1301 Plantation Island Dr S Ste 103,
St Augustine, FL 32080-3109
Ph: (904) 461-5330 |
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