Kelly E Fordham, PA-C - Medicare Physician Assistant in Mountain Brk, AL

Kelly E Fordham, PA-C is a medicare enrolled "Physician Assistant" in Mountain Brk, Alabama. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Forefront Dermatology and her current practice location is 2900 Cahaba Rd, Mountain Brk, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 877-9773.

Kelly E Fordham is licensed to practice in Alabama (license number PA.961) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578983433.

Contact Information

Kelly E Fordham, PA-C
2900 Cahaba Rd,
Mountain Brk, AL 35223-1937
(205) 877-9773
(205) 877-9775

Map and Direction




Provider's Profile

Full NameKelly E Fordham
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location2900 Cahaba Rd, Mountain Brk, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly E Fordham graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1578983433
  • Provider Enumeration Date: 04/18/2014
  • Last Update Date: 11/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709000433
  • Enrollment ID: I20140618002185

Medical Identifiers

Medical identifiers for Kelly E Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578983433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA.961 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forefront Dermatology3779471701483

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. Kelly E 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
Kelly E Fordham, PA-C
801 York St,
Manitowoc, WI 54220-4630

Ph: (920) 663-9008
Kelly E Fordham, PA-C
2900 Cahaba Rd,
Mountain Brk, AL 35223-1937

Ph: (205) 877-9773

Reviews and Comments


Physician Assistant Nurses in Mountain Brk, AL

Amanda Rucker Lanier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Cahaba Rd, Mountain Brk, AL 35223
Phone: 205-877-9773    Fax: 205-877-9775
Eulalie Draper Given Welden, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Cahaba Rd, Mountain Brk, AL 35223
Phone: 205-877-9773    Fax: 205-877-9775
Michael Zicarelli, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4 Norman Dr, Mountain Brk, AL 35213
Phone: 205-515-5657    
Peyton Patricia Blaylock,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2516 Gerald Way, Mountain Brk, AL 35223
Phone: 205-567-1913    
Miss Leah Margaret Guarisco, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Cahaba Village Plz, Mountain Brk, AL 35243
Phone: 205-263-7836    
Alexis Dinga, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Cahaba Village Plz Ste 110, Mountain Brk, AL 35243
Phone: 205-263-7836    
Caroline Alexandra Smith, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 32 Church St, Mountain Brk, AL 35213
Phone: 205-276-0885    

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.