Tondalaya K Sanford, FNP-C in Atlanta, GA - Medicare Nurse Practitioner

Tondalaya K Sanford, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 3119 Fonseca Pass, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (513) 200-8001.

Tondalaya K Sanford is licensed to practice in Georgia (license number RN217783) 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 1194366567.

Contact Information

	Tondalaya K Sanford, FNP-C
	3119 Fonseca Pass, Atlanta, GA 30349-8140
	(513) 200-8001
	Not Available

Map and Direction

Provider's Profile

Full Name	Tondalaya K Sanford
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3119 Fonseca Pass, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194366567
Provider Enumeration Date: 10/07/2019
Last Update Date: 09/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8123474376
Enrollment ID: I20231025001241

Medical Identifiers

Medical identifiers for Tondalaya K Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194366567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN217783 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN217783 (Georgia)	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. Tondalaya K Sanford allows following entities to bill medicare on her behalf.

Entity Name	Highland Rivers Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204

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. Tondalaya K Sanford 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
Tondalaya K Sanford, FNP-C 1758 County Services Pkwy Sw, Marietta, GA 30008-4012 Ph: (513) 200-8001	Tondalaya K Sanford, FNP-C 3119 Fonseca Pass, Atlanta, GA 30349-8140 Ph: (513) 200-8001

Reviews and Comments

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Tondalaya K Sanford, FNP-C - Medicare Nurse Practitioner in Atlanta, GA