Kimberly Jo Fordham, MD - Medicare Family Medicine in Middletown, CA

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Kimberly Jo Fordham, MD is a medicare enrolled "Family Medicine" physician in Middletown, California. Her current practice location is 21337 Bush Street, Middletown, California. You can reach out to her office (for appointments etc.) via phone at (707) 987-3311.

Kimberly Jo Fordham is licensed to practice in California (license number A78858) 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 1376568808.

Contact Information

Kimberly Jo Fordham, MD
21337 Bush Street,
Middletown, CA 95461-1519
(707) 987-3311
(707) 987-2455

Map and Direction




Physician's Profile

Full NameKimberly Jo Fordham
GenderFemale
SpecialityFamily Medicine
Location21337 Bush Street, Middletown, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376568808
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 01/06/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6103711999
  • Enrollment ID: I20040219000853

Medical Identifiers

Medical identifiers for Kimberly Jo Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376568808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A78858 (California)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. Kimberly Jo Fordham allows following entities to bill medicare on her behalf.
Entity NameAdventist Health St. Helena Ob/gyn
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932176146
PECOS PAC ID: 9234038209
Enrollment ID: O20040108000320
Entity NameAdventist Health Clearlake Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633

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. Kimberly Jo Fordham 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 AddressPractice Location Address
Kimberly Jo Fordham, MD
Po Box 1519, 21337 Bush Street,
Middletown, CA 95461-1519

Ph: (707) 987-3311		Kimberly Jo Fordham, MD
21337 Bush Street,
Middletown, CA 95461-1519

Ph: (707) 987-3311

Reviews and Comments


Family Medicine Doctors in Middletown, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.