Pamela N Fordham, CRNP in Birmingham, AL

Pamela N Fordham, CRNP is a Nurse Practitioner - Primary Care based in Birmingham, Alabama. Pamela N Fordham is licensed to practice in Alabama (license number 1021348) and her current practice location is 619 19th Street South, Birmingham, Alabama. She can be reached at her office (for appointments etc.) via phone at (205) 934-6600.

NPI number for Pamela N Fordham is 1699719898 and her current mailing address is Po Box 55310, Birmingham, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699719898.

Contact Information

	Pamela N Fordham, CRNP
	619 19th Street South, Birmingham, AL 35233
	(205) 934-6600
	Not Available

Map and Direction

Provider's Profile

Full Name	Pamela N Fordham
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	619 19th Street South, Birmingham, Alabama
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1699719898
Provider Enumeration Date: 06/16/2006
Last Update Date: 09/12/2011

Medical Identifiers

Medical identifiers for Pamela N Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699719898	NPI	-	NPPES
891017303	Medicaid	AL
051530809	Other	AL	BLUE CROSS
891010120	Medicaid	AL
891010100	Medicaid	AL
891010425	Medicaid	AL
051530810	Other	AL	BLUE CROSS
051541988	Other	AL	BLUE CROSS
891010110	Medicaid	AL
051530808	Other	AL	BLUE CROSS
051530811	Other	AL	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	1021348 (Alabama)	Primary

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. Pamela N Fordham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Pamela N Fordham, CRNP Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701	Pamela N Fordham, CRNP 619 19th Street South, Birmingham, AL 35233 Ph: (205) 934-6600

Reviews and Comments

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Pamela N Fordham, CRNP - Nurse Practitioner in Birmingham, AL