| Mr David Christopher Ford, PA-C | |
|
12302 Somerset Ave Ste Ab, Princess Anne, MD 21853-3099 | |
| (410) 651-0300 | |
| (410) 651-0303 |
| Full Name | Mr David Christopher Ford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 12302 Somerset Ave Ste Ab, Princess Anne, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306092721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Lower Shore Immediate Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679927982 PECOS PAC ID: 0749578300 Enrollment ID: O20161020002345 |
| Entity Name | Ydiprmc, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447783899 PECOS PAC ID: 3173897402 Enrollment ID: O20170925002220 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Christopher Ford, PA-C 9278 Tournament Dr, Delmar, MD 21875-2368 Ph: (301) 919-5554 | Mr David Christopher Ford, PA-C 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853-3099 Ph: (410) 651-0300 |
Maya Armstrong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval Ste 2034, Princess Anne, MD 21853 Phone: 410-621-3032 |
Janell Good, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11868 College Backbone Rd, Princess Anne, Princess Anne, MD 21853 Phone: 410-651-2200 |
Aden Farouk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11868 College Backbone Rd, Princess Anne, MD 21853 Phone: 410-651-7747 |
Shekina Rousseau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval, Princess Anne, MD 21853 Phone: 410-621-3032 |
Magda Angelica Miguel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval, Princess Anne, MD 21853 Phone: 410-651-6410 |
Phoebe Iloanya, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11868 College Backbone Rd, Princess Anne, MD 21853 Phone: 410-651-2200 |
Mrs. Nicole M Boudreaux, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853 Phone: 410-651-0300 |