Dr John R Ford, MS | |
1901 Mission 66, Vicksburg, MS 39180-3711 | |
(601) 636-0097 | |
Not Available |
Full Name | Dr John R Ford |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1901 Mission 66, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356363915 | NPI | - | NPPES |
00124996 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 07650 (Mississippi) | Primary |
Entity Name | John R Ford Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437213766 PECOS PAC ID: 3072580836 Enrollment ID: O20040913000504 |
Entity Name | Mission Primary Care Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487852018 PECOS PAC ID: 5890764914 Enrollment ID: O20040927000415 |
Mailing Address | Practice Location Address |
---|---|
Dr John R Ford, MS 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-8244 | Dr John R Ford, MS 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 |
Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244 | |
Carlos Alberto Latorre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 | |
Stanley R Easterling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Mcauley Dr, Vicksburg, MS 39183 Phone: 601-638-7271 | |
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838 | |
John R Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Breanna Heard-pinho, Family Medicine Medicare: Medicare Enrolled Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1050 Fax: 601-631-2337 |