Jacinta K Ford, PA-C - Medicare Physician Assistant in Beavercreek, OH

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Jacinta K Ford, PA-C is a medicare enrolled "Physician Assistant - Medical" in Beavercreek, Ohio. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mobile Physician Services Inc and her current practice location is 4031 Colonel Glenn Hwy, Suite 133, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (855) 232-0644.

Jacinta K Ford is licensed to practice in Ohio (license number 003112) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669776753.

Contact Information

Jacinta K Ford, PA-C
4031 Colonel Glenn Hwy, Suite 133,
Beavercreek, OH 45431-2774
(855) 232-0644
(888) 546-0488

Map and Direction




Provider's Profile

Full NameJacinta K Ford
GenderFemale
SpecialityPhysician Assistant
Experience17 Years
Location4031 Colonel Glenn Hwy, Beavercreek, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacinta K Ford graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1669776753
  • Provider Enumeration Date: 01/04/2011
  • Last Update Date: 02/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052591435
  • Enrollment ID: I20110203000015

Medical Identifiers

Medical identifiers for Jacinta K Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669776753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 003112 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Buckeye Home Health Care, LlcDayton, OHHome health agency
Fidelity Health CareMoraine, OHHome health agency
Fountain Park Home Care, LlcVan wert, OHHome health agency
Everheart HospiceGreenville, OHHospice
Wayne HospitalGreenville, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mobile Physician Services Inc468868565439

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. Jacinta K Ford allows following entities to bill medicare on her behalf.
Entity NameMobile Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003002759
PECOS PAC ID: 4688685654
Enrollment ID: O20190426000298
Entity NameCareconnectmd Ohio, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255971537
PECOS PAC ID: 2567885577
Enrollment ID: O20200709002068
Entity NameSpecialized Care Initiative, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255179743
PECOS PAC ID: 2860932647
Enrollment ID: O20260213002879

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. Jacinta K 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 AddressPractice Location Address
Jacinta K Ford, PA-C
4031 Colonel Glenn Hwy, Suite 133,
Beavercreek, OH 45431-2774

Ph: (855) 232-0644		Jacinta K Ford, PA-C
4031 Colonel Glenn Hwy, Suite 133,
Beavercreek, OH 45431-2774

Ph: (855) 232-0644

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.