Mr Ralph Ford, MD is a medicare enrolled "General Practice" physician in Salem, Missouri. His current practice location is
35629 Highway 72, Salem, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 729-6626.
Mr Ralph Ford is licensed to practice in Missouri (license number 252 30) 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 1194704080.
Physician's Profile
Full Name | Mr Ralph Ford |
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Gender | Male |
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Speciality | General Practice |
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Location | 35629 Highway 72, Salem, Missouri |
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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: 1194704080
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 11/06/2009
Medicare PECOS Information:
- PECOS PAC ID: 8729218300
- Enrollment ID: I20211230000987
Medical Identifiers
Medical identifiers for Mr Ralph Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194704080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 252 30 (Missouri) | 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. Mr Ralph Ford allows following entities to bill medicare on his behalf.
Entity Name | Salem Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114177557 PECOS PAC ID: 7012801129 Enrollment ID: O20040210000857 |
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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. Mr Ralph 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 |
Mr Ralph Ford, MD Po Box 774, 35629 Highway 72, Salem, MO 65560-0774 Ph: (573) 729-6626 | Mr Ralph Ford, MD 35629 Highway 72, Salem, MO 65560-7217 Ph: (573) 729-6626 |
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