Dr Charles D Ford Jr, MD is a medicare enrolled "Emergency Medicine" physician in Ripley, Tennessee. His current practice location is
326 Asbury Ave, Ripley, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 221-2200.
Dr Charles D Ford Jr is licensed to practice in Tennessee (license number 49829) 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 1831400449.
Physician's Profile
| Full Name | Dr Charles D Ford Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 326 Asbury Ave, Ripley, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831400449
- Provider Enumeration Date: 06/29/2010
- Last Update Date: 08/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 3779721907
- Enrollment ID: I20130530000262
Medical Identifiers
Medical identifiers for Dr Charles D Ford Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831400449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 49829 (Tennessee) | 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. Dr Charles D Ford Jr allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997 |
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| Entity Name | Emergency Coverage Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666 |
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| Entity Name | Emergency Staffing Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477590974
PECOS PAC ID: 9830001650
Enrollment ID: O20120127000382 |
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| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20151006000818 |
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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. Dr Charles D Ford Jr 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 |
|---|
Dr Charles D Ford Jr, MD
326 Asbury Ave,
Ripley, TN 38063-5577
Ph: (731) 221-2200 | Dr Charles D Ford Jr, MD
326 Asbury Ave,
Ripley, TN 38063-5577
Ph: (731) 221-2200 |
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