| Amber Ford, | |
|
3302 Renner Dr, Fortuna, CA 95540-7103 | |
| (707) 725-3318 | |
| (707) 725-1998 |
| Full Name | Amber Ford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3302 Renner Dr, Fortuna, California |
| 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 |
|---|---|---|---|
| 1114238797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95029240 (California) | Primary |
| 172V00000X | Community Health Worker | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Joseph Hospital | Eureka, CA | Hospital |
| Providence Redwood Memorial Hospital | Fortuna, CA | Hospital |
| Mad River Community Hospital | Arcata, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Health Northern California Llc | 8921374562 | 10 |
| Entity Name | St Joseph Health Northern California LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043292303 PECOS PAC ID: 8921374562 Enrollment ID: O20180213001383 |
| Entity Name | St Joseph Health Northern California LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235218785 PECOS PAC ID: 8921374562 Enrollment ID: O20200706001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Ford, 720 Wood St, Eureka, CA 95501-4413 Ph: (707) 268-2990 | Amber Ford, 3302 Renner Dr, Fortuna, CA 95540-7103 Ph: (707) 725-3318 |
Mrs. Maureen B Frank, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3306 Renner Dr, Fortuna, CA 95540 Phone: 707-725-6101 Fax: 707-725-2978 |
Johnny Keith Coleman, P.A.-C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3302 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3318 Fax: 707-725-9396 |
Mrs. Lori Ann Cutler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3304 Renner Dr, Fortuna, CA 95540 Phone: 707-725-4477 Fax: 707-725-9209 |
Mrs. Mary Terese Dodd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 874 Main St, Fortuna, CA 95540 Phone: 707-725-3334 Fax: 707-725-2455 |
Joan P. Butler, MSN, FNP-C, PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3304 Renner Dr, Fortuna, CA 95540 Phone: 707-725-4477 Fax: 707-725-9209 |
Danielle Leighann Cole, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3750 Rohnerville Road, Fortuna, CA 95540 Phone: 707-725-4477 |
Laura L Mojica, APRN, IBCLC, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3305 Renner Dr, Fortuna, CA 95540 Phone: 707-725-9355 Fax: 707-725-2426 |