Tenisha Dianne Ford, in Victorville, CA - Medicare Marriage & Family Therapist Provider

Tenisha Dianne Ford, is a medicare enrolled "Marriage & Family Therapist" provider in Victorville, California. Her current practice location is 14605 Graham Ave, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 985-4308.

Tenisha Dianne Ford is licensed to practice in California (license number 145506) 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 1598144685.

Contact Information

	Tenisha Dianne Ford,
	14605 Graham Ave, Victorville, CA 92394-7004
	(760) 985-4308
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tenisha Dianne Ford
Gender	Female
Speciality	Marriage & Family Therapist
Location	14605 Graham Ave, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598144685
Provider Enumeration Date: 05/22/2015
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3678013539
Enrollment ID: I20240906002247

Medical Identifiers

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

Identifier	Type	State	Issuer
1598144685	NPI	-	NPPES
106H00000X	Other	CA	MEDICAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	754506 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	145506 (California)	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. Tenisha Dianne Ford allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Tenisha Dianne 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
Tenisha Dianne Ford, 14605 Graham Ave, Victorville, CA 92394-7004 Ph: (760) 514-2889	Tenisha Dianne Ford, 14605 Graham Ave, Victorville, CA 92394-7004 Ph: (760) 985-4308

Reviews and Comments

Marriage & Family Therapist in Victorville, CA

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Brittney Dawn Massie, M.A. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12240 Hesperia Rd Ste A, Victorville, CA 92395 Phone: 760-245-8837 Fax: 760-245-8854
Betty Ann Murphy, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15437 Anacapa Rd Ste 26, Victorville, CA 92392 Phone: 760-685-4195

Tenisha Dianne Ford, - Medicare Couples Therapy in Victorville, CA