| Michelle R Ford, PMHNP-BC | |
|
618 S Madison Dr, Tempe, AZ 85281-7248 | |
| (480) 784-1514 | |
| Not Available |
| Full Name | Michelle R Ford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 618 S Madison Dr, Tempe, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245940014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 281966 (Arizona) | Primary |
| Entity Name | Empact- Suicide Prevention Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003982133 PECOS PAC ID: 2365416575 Enrollment ID: O20040824000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Ford, PMHNP-BC 12319 Ash St, Leawood, KS 66209-3156 Ph: (816) 935-3358 | Michelle R Ford, PMHNP-BC 618 S Madison Dr, Tempe, AZ 85281-7248 Ph: (480) 784-1514 |
Mr. Christopher Ian Earle, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1835 E 6th St, Ste 21, Tempe, AZ 85281 Phone: 480-581-6981 | |
Joan Marie Cobb, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2163 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-646-8123 Fax: 480-646-8125 | |
Mrs. Eva Yihui Wang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3349 Fax: 490-965-9555 | |
Alayna M Despain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2033 E Warner Rd, Suite 109, Tempe, AZ 85284 Phone: 480-820-5525 Fax: 480-831-6755 | |
Mrs. Jennifer Lindsey Atwood Green, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 S Madison Dr, Tempe, AZ 85281 Phone: 480-784-1514 | |
Patricia Ann Faust, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 S Mcclintock Dr, 104, Tempe, AZ 85283 Phone: 480-388-3666 Fax: 480-388-3667 | |
Rosalia Jimenez Vasquez, N.P. (NURSE PRACTITI Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2078 E Southern D-101, Tempe, AZ 85282 Phone: 480-968-9890 Fax: 480-968-9895 |