Tabitha Ford, is a medicare enrolled "Nurse Practitioner" in Ty Ty, Georgia. Her current practice location is
110 Shorter St Lot 9, Ty Ty, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 256-7374.
Tabitha Ford is licensed to practice in Georgia (license number RN173276) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538768965.
Provider's Profile
| Full Name | Tabitha Ford |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 110 Shorter St Lot 9, Ty Ty, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538768965
- Provider Enumeration Date: 10/16/2020
- Last Update Date: 10/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850742206
- Enrollment ID: I20240110001054
Medical Identifiers
Medical identifiers for Tabitha Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538768965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | RN173276 (Georgia) | 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. Tabitha Ford allows following entities to bill medicare on her behalf.
| Entity Name | Phoebe Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583 |
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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. Tabitha 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 |
|---|
Tabitha Ford,
110 Shorter St Lot 9,
Ty Ty, GA 31795-3179
Ph: (229) 256-7374 | Tabitha Ford,
110 Shorter St Lot 9,
Ty Ty, GA 31795-3179
Ph: (229) 256-7374 |
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