Mrs Karen Marie Ford, MSW, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Bridgeport, Michigan. Her current practice location is
6297 Dixie Hwy, Bridgeport, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 759-6460.
Mrs Karen Marie Ford is licensed to practice in Michigan (license number 6801087394) 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 1649547266.
Healthcare Provider's Profile
| Full Name | Mrs Karen Marie Ford |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 6297 Dixie Hwy, Bridgeport, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649547266
- Provider Enumeration Date: 11/28/2011
- Last Update Date: 04/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 3870882962
- Enrollment ID: I20160512001213
Medical Identifiers
Medical identifiers for Mrs Karen Marie Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649547266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6801087394 (Michigan) | 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. Mrs Karen Marie Ford allows following entities to bill medicare on her behalf.
| Entity Name | Creekside Counseling Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619550860 PECOS PAC ID: 9133521255 Enrollment ID: O20210713000742 |
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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. Mrs Karen Marie 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 |
Mrs Karen Marie Ford, MSW, LMSW 501 Lapeer Ave, Saginaw, MI 48607-1203 Ph: (989) 759-6464 | Mrs Karen Marie Ford, MSW, LMSW 6297 Dixie Hwy, Bridgeport, MI 48722-9635 Ph: (989) 759-6460 |
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