Kimberly Ford, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Cavalier, North Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pembina County Memorial Hospital Association and her current practice location is
301 Mountain St E, Cavalier, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 265-8461.
Kimberly Ford is licensed to practice in North Dakota (license number R36587) 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 1205366788.
Provider's Profile
Full Name | Kimberly Ford |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 301 Mountain St E, Cavalier, North Dakota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kimberly Ford graduated from nursing school in 2017
NPI Data:
- NPI Number: 1205366788
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496029340
- Enrollment ID: I20170915003185
Medical Identifiers
Medical identifiers for Kimberly Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205366788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R36587 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pembina County Memorial Hospital Association | 4789643719 | 108 |
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 Ford allows following entities to bill medicare on her behalf.
Entity Name | Pembina County Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417093949 PECOS PAC ID: 4789643719 Enrollment ID: O20041006000441 |
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Entity Name | Pembina County Memorial Hospital Association |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1760542500 PECOS PAC ID: 4789643719 Enrollment ID: O20101019001369 |
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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. Kimberly 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 |
Kimberly Ford, NURSE PRACTITIONER 301 Mountain St E, Cavalier, ND 58220-4015 Ph: (701) 265-8461 | Kimberly Ford, NURSE PRACTITIONER 301 Mountain St E, Cavalier, ND 58220-4015 Ph: (701) 265-8461 |
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