Shirley Moore Ford, MS, LPC, NCC, MAC in Greenville, AL

Shirley Moore Ford, MS, LPC, NCC, MAC is a medicare enrolled "Counselor - Professional" provider in Greenville, Alabama. Her current practice location is 185 Industrial Pkwy, Greenville, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 382-2108.

Shirley Moore Ford is licensed to practice in Alabama (license number 3266) 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 1063912681.

Contact Information

	Shirley Moore Ford, MS, LPC, NCC, MAC
	185 Industrial Pkwy, Greenville, AL 36037-2421
	(334) 382-2108
	(334) 382-6353

Map and Direction

Healthcare Provider's Profile

Full Name	Shirley Moore Ford
Gender	Female
Speciality	Counselor - Professional
Location	185 Industrial Pkwy, Greenville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063912681
Provider Enumeration Date: 02/20/2018
Last Update Date: 02/20/2018

Medicare PECOS Information:

PECOS PAC ID: 2466894589
Enrollment ID: I20240521002744

Medical Identifiers

Medical identifiers for Shirley Moore Ford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063912681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3266 (Alabama)	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. Shirley Moore Ford allows following entities to bill medicare on her behalf.

Entity Name	Pike Road Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437681814 PECOS PAC ID: 3476998329 Enrollment ID: O20240301000017

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. Shirley Moore 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 Address	Practice Location Address
Shirley Moore Ford, MS, LPC, NCC, MAC 108 Fleetwood Rd, Prattville, AL 36067-4028 Ph: (205) 275-8251	Shirley Moore Ford, MS, LPC, NCC, MAC 185 Industrial Pkwy, Greenville, AL 36037-2421 Ph: (334) 382-2108

Reviews and Comments

Counselor in Greenville, AL

Jamelyn Suzanna Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Caldwell St, Greenville, AL 36037 Phone: 334-301-1193
Mr. James Robert Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Industrial Parkway, Greenville, AL 36037 Phone: 334-382-2018 Fax: 334-382-6353
Misti Keen, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Commerce St Ste 205, Greenville, AL 36037 Phone: 334-371-5848 Fax: 334-371-5849
Ms. Marthina Renae Carter, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 436 Manningham Loop, Greenville, AL 36037 Phone: 334-440-2482
Mrs. Amanda White Whiting, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Caldwell St, Greenville, AL 36037 Phone: 334-294-3317
Jennifer Ellen Fox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Caldwell St, Greenville, AL 36037 Phone: 334-546-6979

Shirley Moore Ford, MS, LPC, NCC, MAC - Medicare Counselor in Greenville, AL