Michelle Ann Sanford, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Mobile, Alabama. She went to University Of South Alabama College Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Cancer Center Pc and her current practice location is
3719 Dauphin St, 5th Floor, Mobile, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 625-6896.
Michelle Ann Sanford is licensed to practice in Alabama (license number 1-059045) 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 1487076873.
Physician's Profile
| Full Name | Michelle Ann Sanford |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 3719 Dauphin St, Mobile, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Ann Sanford attended and graduated from University Of South Alabama College Of Medicine in 2013
NPI Data:
- NPI Number: 1487076873
- Provider Enumeration Date: 01/20/2014
- Last Update Date: 05/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 8224260773
- Enrollment ID: I20140415001568
Medical Identifiers
Medical identifiers for Michelle Ann Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487076873 | NPI | - | NPPES |
| 192617 | Medicaid | AL | |
| 102I506859 | Other | AL | MEDICARE PTAN |
| P01576999 | Other | AL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 1-059045 (Alabama) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 1-059045 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Cancer Center Pc | 5597860403 | 25 |
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. Michelle Ann Sanford allows following entities to bill medicare on her behalf.
| Entity Name | Southern Cancer Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578629556
PECOS PAC ID: 5597860403
Enrollment ID: O20070423000242 |
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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. Michelle Ann 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 |
|---|
Michelle Ann Sanford, CRNP
29653 Anchor Cross Blvd,
Daphne, AL 36526-9594
Ph: (251) 625-6896 | Michelle Ann Sanford, CRNP
3719 Dauphin St, 5th Floor,
Mobile, AL 36608-1753
Ph: (251) 625-6896 |
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