Charles Davis Ford, MD | |
631 Rb Wilson Dr, Huntingdon, TN 38344-1727 | |
(731) 986-4461 | |
(865) 291-3228 |
Full Name | Charles Davis Ford |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 631 Rb Wilson Dr, Huntingdon, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063451672 | NPI | - | NPPES |
4110535 | Other | TN | BCBS |
P00255517 | Other | TN | RAILROAD MEDICARE |
3898586 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 38666 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20120127000382 |
Entity Name | Hospital Medicine Services Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
Mailing Address | Practice Location Address |
---|---|
Charles Davis Ford, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: () - | Charles Davis Ford, MD 631 Rb Wilson Dr, Huntingdon, TN 38344-1727 Ph: (731) 986-4461 |
Yahya Subayti, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 631 R.b. Wilson Dr., Huntingdon, TN 38344 Phone: 731-267-0011 Fax: 731-664-6590 |