Kylie Ford, is a
Dentist - General Practice based in Cottage Grove, Wisconsin. Kylie Ford is licensed to practice in Wisconsin (license number 1002656-15) and her current practice location is
2848 Cottage Grove Rd, Cottage Grove, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 839-6363.
NPI number for Kylie Ford is 1396413951 and her current mailing address is 725 Seneca Pl, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396413951.
Healthcare Provider's Profile
Full Name | Kylie Ford |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 2848 Cottage Grove Rd, Cottage Grove, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396413951
- Provider Enumeration Date: 08/31/2021
- Last Update Date: 08/31/2021
Medical Identifiers
Medical identifiers for Kylie Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396413951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 1002656-15 (Wisconsin) | 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. Kylie 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 |
Kylie Ford, 725 Seneca Pl, Madison, WI 53711-2950 Ph: (847) 404-0604 | Kylie Ford, 2848 Cottage Grove Rd, Cottage Grove, WI 53527-8862 Ph: (608) 839-6363 |
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