Victoria Sanford, PMHMP-BC in O Fallon, MO - Medicare Nurse Practitioner

Victoria Sanford, PMHMP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in O Fallon, Missouri. Her current practice location is 9979 Winghaven Blvd Ste 204, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 695-4554.

Victoria Sanford is licensed to practice in Missouri (license number 2021008275) 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 1568013993.

Contact Information

	Victoria Sanford, PMHMP-BC
	9979 Winghaven Blvd Ste 204, O Fallon, MO 63368-3628
	(636) 695-4554
	(636) 695-3099

Map and Direction

Provider's Profile

Full Name	Victoria Sanford
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9979 Winghaven Blvd Ste 204, O Fallon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568013993
Provider Enumeration Date: 09/26/2019
Last Update Date: 05/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5193132256
Enrollment ID: I20210408000085

Medical Identifiers

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

Identifier	Type	State	Issuer
1568013993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F09191251 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2021008275 (Missouri)	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. Victoria Sanford allows following entities to bill medicare on her behalf.

Entity Name	East Central Missouri Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501

Entity Name	Northwest Psychiatric Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962563429 PECOS PAC ID: 8628025715 Enrollment ID: O20080325000326

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. Victoria 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
Victoria Sanford, PMHMP-BC 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234	Victoria Sanford, PMHMP-BC 9979 Winghaven Blvd Ste 204, O Fallon, MO 63368-3628 Ph: (636) 695-4554

Reviews and Comments

Nurse Practitioner Nurses in O Fallon, MO

Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610
Leah W Wangui, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363
Gloria Michelle Paul Edacheril, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Phone: 636-344-2400 Fax: 636-344-2401

Victoria Sanford, PMHMP-BC - Medicare Nurse Practitioner in O Fallon, MO