Ms Kalesha Marie Ford, LPN is a
Licensed Practical Nurse based in Cross Plains, Wisconsin. Ms Kalesha Marie Ford is licensed to practice in Wisconsin (license number 318207) and her current practice location is
2605 Church St, Cross Plains, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 576-7089.
NPI number for Ms Kalesha Marie Ford is 1841736352 and her current mailing address is 130 Cumberland Ln, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841736352.
Provider's Profile
Full Name | Ms Kalesha Marie Ford |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2605 Church St, Cross Plains, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841736352
- Provider Enumeration Date: 01/09/2017
- Last Update Date: 01/09/2017
Medical Identifiers
Medical identifiers for Ms Kalesha Marie Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841736352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 318207 (Wisconsin) | Primary |
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. Ms Kalesha Marie Ford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kalesha Marie Ford, LPN 130 Cumberland Ln, Madison, WI 53714-2324 Ph: (608) 333-3293 | Ms Kalesha Marie Ford, LPN 2605 Church St, Cross Plains, WI 53528-9674 Ph: (608) 576-7089 |
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