| Amanda Ford, DO | |
|
730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | |
| (828) 580-8684 | |
| (828) 580-8459 |
| Full Name | Amanda Ford |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 730 Malcolm Blvd Ste 150, Connelly Springs, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245657105 | NPI | - | NPPES |
| 1245657105 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2017-01028 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Northern Regional Hospital | Mount airy, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Ford, DO 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 Ph: (828) 580-8684 | Amanda Ford, DO 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 Ph: (828) 580-8684 |
Mr. Randall Josiah Bosley, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 Phone: 828-874-4600 Fax: 828-580-8459 | |
Dr. Dana Nicole Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 Malcolm Blvd, Connelly Springs, NC 28612 Phone: 828-874-2061 Fax: 888-232-8525 | |
Shawn M Hamm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 Phone: 828-874-4600 Fax: 828-874-8900 | |
Dr. Jackson Genant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Malcolm Blvd Ste 230, Connelly Springs, NC 28612 Phone: 828-580-2811 Fax: 828-580-7083 | |
Dr. John Clements Betancourt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 Phone: 828-874-4600 Fax: 828-874-8900 |