Mrs Amy D Ford, LSCSW - Medicare Clinical Social Worker in Coffeyville, KS

  1. Home
  2. Clinical Social Workers
  3. KS
  4. Coffeyville
Mrs Amy D Ford, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Coffeyville, Kansas. Her current practice location is 1601 W 4th St, Coffeyville, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 252-8180.

Mrs Amy D Ford is licensed to practice in Kansas (license number LSCSW 3833) 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 1205871613.

Contact Information

Mrs Amy D Ford, LSCSW
1601 W 4th St,
Coffeyville, KS 67337-3333
(620) 252-8180
(620) 332-1940

Map and Direction




Healthcare Provider's Profile

Full NameMrs Amy D Ford
GenderFemale
SpecialitySocial Worker - Clinical
Location1601 W 4th St, Coffeyville, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205871613
  • Provider Enumeration Date: 06/19/2006
  • Last Update Date: 03/27/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9234207168
  • Enrollment ID: I20081006000383

Medical Identifiers

Medical identifiers for Mrs Amy D Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205871613NPI-NPPES
6919003OtherKSMEDICARE PTAN
200435870AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LSCSW 3833 (Kansas)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 348 (Kansas)Secondary

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. Mrs Amy D Ford allows following entities to bill medicare on her behalf.
Entity NameFour County Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841290251
PECOS PAC ID: 7012904071
Enrollment ID: O20040430000887

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. Mrs Amy D Ford 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 AddressPractice Location Address
Mrs Amy D Ford, LSCSW
Po Box 688,
Independence, KS 67301-0688

Ph: () -		Mrs Amy D Ford, LSCSW
1601 W 4th St,
Coffeyville, KS 67337-3333

Ph: (620) 252-8180

Reviews and Comments


Social Worker in Coffeyville, KS

Mr. Joseph Maylen Miller, MSW DCSW LSCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1411 W 4th St, Family Consultation Services Ste C, Coffeyville, KS 67337
Phone: 620-251-6967    Fax: 620-251-6967
Evelyn V Smith, LSCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 801 W 8th St, Coffeyville, KS 67337
Phone: 620-251-4300    Fax: 620-251-4979
Timothy Cosgrove,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1601 W 4th St, Coffeyville, KS 67337
Phone: 620-251-8180    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.