Jeremy Ford, MSN, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Maple Heights, Ohio. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Hospitals Medical Group Inc and his current practice location is
15609 Shirley Ave, Maple Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 798-3294.
Jeremy Ford is licensed to practice in Ohio (license number 025926) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316577372.
Physician's Profile
| Full Name | Jeremy Ford |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 15609 Shirley Ave, Maple Heights, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeremy Ford graduated from medical school in 2019
NPI Data:
- NPI Number: 1316577372
- Provider Enumeration Date: 01/17/2020
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335553262
- Enrollment ID: I20210203003110
Medical Identifiers
Medical identifiers for Jeremy Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316577372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 025926 (Ohio) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 025926 (Ohio) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 025926 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Hospitals Medical Group Inc | 4789682493 | 1542 |
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. Jeremy Ford allows following entities to bill medicare on his behalf.
| Entity Name | Inpatient Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093756314
PECOS PAC ID: 6406753045
Enrollment ID: O20031212000790 |
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| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
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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. Jeremy 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 |
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Jeremy Ford, MSN, APRN, NP-C
15609 Shirley Ave,
Maple Heights, OH 44137-4608
Ph: () - | Jeremy Ford, MSN, APRN, NP-C
15609 Shirley Ave,
Maple Heights, OH 44137-4608
Ph: (216) 798-3294 |
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