Dejah Ford, in Middletown, CT - Medicare Social Worker Provider

Dejah Ford, is a medicare enrolled "Social Worker - Clinical" provider in Middletown, Connecticut. Her current practice location is 210 S Main St Ste 300a, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 712-6791.

Dejah Ford is licensed to practice in Connecticut (license number 14204) 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 1417597576.

Contact Information

	Dejah Ford,
	210 S Main St Ste 300a, Middletown, CT 06457-3764
	(860) 712-6791
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dejah Ford
Gender	Female
Speciality	Social Worker - Clinical
Location	210 S Main St Ste 300a, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417597576
Provider Enumeration Date: 01/07/2020
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3173068897
Enrollment ID: I20240717001899

Medical Identifiers

Medical identifiers for Dejah Ford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417597576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	14204 (Connecticut)	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. Dejah Ford allows following entities to bill medicare on her behalf.

Entity Name	Community Health Resources, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155

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. Dejah 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
Dejah Ford, 12 Balaban Rd Apt 507, Colchester, CT 06415-1793 Ph: () -	Dejah Ford, 210 S Main St Ste 300a, Middletown, CT 06457-3764 Ph: (860) 712-6791

Reviews and Comments

Social Worker in Middletown, CT

Rebecca Rotondo, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 Phone: 860-343-5300
Ellen B Koch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: River Valley Services, Dutton Home Silver St, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356
Vanessa M Cardella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 267 William St, Middletown, CT 06457 Phone: 860-834-1018
Amanda L Wolf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Macdonough Pl, Middletown, CT 06457 Phone: 860-358-3437
Rachel Miriam Bonaparte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 675 Main St, Middletown, CT 06457 Phone: 203-347-6971 Fax: 860-343-7379
Catherine A Stone, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 363 Main St Ste 509, Middletown, CT 06457 Phone: 203-584-5206
Rachel U Manemeit, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Dutton Home Silver St, River Valley Services, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356

Dejah Ford, - Medicare Clinical Social Worker in Middletown, CT