Dr Laura June Ford, DO is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Dover, Tennessee. Her current practice location is
308b Spring St, Dover, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(520) 934-4624.
Dr Laura June Ford is licensed to practice in Tennessee (license number 0000004539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003889783.
Physician's Profile
Full Name | Dr Laura June Ford |
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Gender | Female |
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Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
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Location | 308b Spring St, Dover, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003889783
- Provider Enumeration Date: 02/11/2006
- Last Update Date: 07/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880732080
- Enrollment ID: I20160211000665
Medical Identifiers
Medical identifiers for Dr Laura June Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003889783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 34.013243 (Ohio) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 009129 (Arizona) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 0000004539 (Tennessee) | Primary |
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 Laura June 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 |
Dr Laura June Ford, DO Po Box 563, Dover, TN 37058-0563 Ph: (520) 934-4624 | Dr Laura June Ford, DO 308b Spring St, Dover, TN 37058-3233 Ph: (520) 934-4624 |
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