Clyde Dejong Ford, MD in Salt Lake City, UT - Medicare Internal Medicine

Clyde Dejong Ford, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Salt Lake City, Utah. His current practice location is 8 Th Avenue And C St, Bone Marrow Transplant, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 408-3729.

Clyde Dejong Ford is licensed to practice in Utah (license number 158790-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568496958.

Contact Information

	Clyde Dejong Ford, MD
	8 Th Avenue And C St, Bone Marrow Transplant, Salt Lake City, UT 84143-0001
	(801) 408-3729
	(801) 408-8453

Map and Direction

Physician's Profile

Full Name	Clyde Dejong Ford
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	8 Th Avenue And C St, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568496958
Provider Enumeration Date: 07/10/2006
Last Update Date: 08/26/2011

Medicare PECOS Information:

PECOS PAC ID: 0446277925
Enrollment ID: I20051025000558

Medical Identifiers

Medical identifiers for Clyde Dejong Ford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568496958	NPI	-	NPPES
91515	Other	UT	PEHP
6891	Other	UT	DMBA
296662	Other	UT	ALTIUS
107005107110	Other	UT	SELECT HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	158790-1205 (Utah)	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. Clyde Dejong Ford allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Clyde Dejong 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
Clyde Dejong Ford, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 535-8163	Clyde Dejong Ford, MD 8 Th Avenue And C St, Bone Marrow Transplant, Salt Lake City, UT 84143-0001 Ph: (801) 408-3729

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Hematology & Oncology Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Clyde Dejong Ford, MD - Medicare Internal Medicine in Salt Lake City, UT