Dr Beneranda Sophia Ford-glanton, MD is a medicare enrolled "Urology" physician in Belleville, Illinois. Her current practice location is
301 W Lincoln St Ste 201, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 641-5803.
Dr Beneranda Sophia Ford-glanton is licensed to practice in Illinois (license number 036119047) 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 1124229901.
Physician's Profile
| Full Name | Dr Beneranda Sophia Ford-glanton |
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| Gender | Female |
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| Speciality | Urology |
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| Location | 301 W Lincoln St Ste 201, Belleville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124229901
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 08/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 7214095090
- Enrollment ID: I20081023000101
Medical Identifiers
Medical identifiers for Dr Beneranda Sophia Ford-glanton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124229901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 036119047 (Illinois) | 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. Dr Beneranda Sophia Ford-glanton allows following entities to bill medicare on her behalf.
| Entity Name | Madison Medical Center Stockhoff Memorial Nursing Home |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1720163025
PECOS PAC ID: 1355255886
Enrollment ID: O20080723000675 |
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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. Dr Beneranda Sophia Ford-glanton 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 |
|---|
Dr Beneranda Sophia Ford-glanton, MD
301 West Lincoln Street, Suite 201,
Belleville, IL 62220
Ph: (618) 641-5803 | Dr Beneranda Sophia Ford-glanton, MD
301 W Lincoln St Ste 201,
Belleville, IL 62220-1901
Ph: (618) 641-5803 |
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