Regina Lynne Ford, MED in Jacksonville, FL - Medicare Counselor Provider

Regina Lynne Ford, MED is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. Her current practice location is 640 Appian Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 765-1237.

Regina Lynne Ford is licensed to practice in Florida (license number MH6527) 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 1265683320.

Contact Information

	Regina Lynne Ford, MED
	640 Appian Way, Jacksonville, FL 32208-3502
	(904) 765-1237
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Regina Lynne Ford
Gender	Female
Speciality	Counselor - Mental Health
Location	640 Appian Way, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265683320
Provider Enumeration Date: 10/08/2008
Last Update Date: 10/08/2008

Medicare PECOS Information:

PECOS PAC ID: 8325560675
Enrollment ID: I20250317002249

Medical Identifiers

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

Identifier	Type	State	Issuer
1265683320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH6527 (Florida)	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. Regina Lynne Ford allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20051221000986

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. Regina Lynne 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
Regina Lynne Ford, MED 640 Appian Way, Jacksonville, FL 32208-3502 Ph: (904) 765-1237	Regina Lynne Ford, MED 640 Appian Way, Jacksonville, FL 32208-3502 Ph: (904) 765-1237

Reviews and Comments

Counselor in Jacksonville, FL

Mrs. Gloria Hanania, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060
Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833
Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172
Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017

Regina Lynne Ford, MED - Medicare Counselor in Jacksonville, FL