Renna Lynn Ford, SUDC is a
Counselor - Addiction (substance Use Disorder) based in Elsinore, Utah. Renna Lynn Ford is licensed to practice in Utah (license number 274670-6005) and her current practice location is
445 S Center St, Elsinore, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 979-6645.
NPI number for Renna Lynn Ford is 1578348884 and her current mailing address is Po Box 212, Elsinore, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578348884.
Healthcare Provider's Profile
Full Name | Renna Lynn Ford |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 445 S Center St, Elsinore, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578348884
- Provider Enumeration Date: 08/28/2023
- Last Update Date: 08/28/2023
Medical Identifiers
Medical identifiers for Renna Lynn Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578348884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 274670-6005 (Utah) | Primary |
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. Renna Lynn Ford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Renna Lynn Ford, SUDC Po Box 212, Elsinore, UT 84724-0212 Ph: (435) 979-6645 | Renna Lynn Ford, SUDC 445 S Center St, Elsinore, UT 84724-7701 Ph: (435) 979-6645 |
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