Donald R Ford, MD | |
600 N College Ave, Suite 120, Geneseo, IL 61254-1091 | |
(309) 944-5342 | |
(309) 944-8192 |
Full Name | Donald R Ford |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 600 N College Ave, Geneseo, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053398933 | NPI | - | NPPES |
0360476613 | Medicaid | IL | |
0801777765 | Other | IL | RR MEDICARE |
1053398933 | Medicaid | IL | |
036047661 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25736 (Iowa) | Secondary |
207Q00000X | Family Medicine | 036047661 (Illinois) | Primary |
Entity Name | County Of Henry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851394829 PECOS PAC ID: 5193828556 Enrollment ID: O20070306000229 |
Entity Name | Hammond Henry Dist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20071211000175 |
Entity Name | Hammond Henry Dist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629517313 PECOS PAC ID: 0143115949 Enrollment ID: O20170511000385 |
Mailing Address | Practice Location Address |
---|---|
Donald R Ford, MD 600 N College Ave, Suite 120, Geneseo, IL 61254-1091 Ph: (309) 944-5342 | Donald R Ford, MD 600 N College Ave, Suite 120, Geneseo, IL 61254-1091 Ph: (309) 944-5342 |
Elyse Wolf, APN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N College Ave, Geneseo, IL 61254 Phone: 309-944-6431 | |
Shari L Becker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N College Ave, Suite 120, Geneseo, IL 61254 Phone: 309-944-5342 Fax: 309-944-8192 |