Tenisha Dianne Ford, is a
Student In An Organized Health Care Education/training Program based in Victorville, California. Tenisha Dianne Ford is licensed to practice in * (Not Available) (license number ) and her current practice location is
14605 Graham Ave, Victorville, California. She can be reached at her office (for appointments etc.) via phone at
(760) 985-4308.
NPI number for Tenisha Dianne Ford is 1598144685 and her current mailing address is 14605 Graham Ave, Victorville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598144685.
Healthcare Provider's Profile
Full Name | Tenisha Dianne Ford |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 14605 Graham Ave, Victorville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598144685
- Provider Enumeration Date: 05/22/2015
- Last Update Date: 05/09/2024
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)) | Primary |
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
NOT enrolled with medicare and thus cannot 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 |
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