Ms Nanette Cornish Ford, PA C - Medicare Physician Assistant in Ketchum, ID

Ms Nanette Cornish Ford, PA C is a medicare enrolled "Physician Assistant" in Ketchum, Idaho. Her current practice location is 180 East Avenue, Ketchum, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 725-0900.

Ms Nanette Cornish Ford is licensed to practice in Idaho (license number PA126) 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 1306055850.

Contact Information

Ms Nanette Cornish Ford, PA C
180 East Avenue,
Ketchum, ID 83340
(208) 725-0900
(208) 725-0901



Provider's Profile

Full NameMs Nanette Cornish Ford
GenderFemale
SpecialityPhysician Assistant
Location180 East Avenue, Ketchum, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306055850
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385862325
  • Enrollment ID: I20180807002662

Medical Identifiers

Medical identifiers for Ms Nanette Cornish Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306055850NPI-NPPES
PA126OtherSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA126 (Idaho)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. Ms Nanette Cornish 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
Ms Nanette Cornish Ford, PA C
Po Box 1575,
Ketchum, ID 83340

Ph: (208) 725-0900
Ms Nanette Cornish Ford, PA C
180 East Avenue,
Ketchum, ID 83340

Ph: (208) 725-0900

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Physician Assistant Nurses in Ketchum, ID

Jill K. Zelaya, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Dr., Ketchum, ID 83340
Phone: 208-726-5027    
Erin R Barker, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Hospital Drive, Ketchum, ID 83340
Phone: 208-727-8888    
Alice Elizabeth Winter, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Drive, Suite 100, Ketchum, ID 83340
Phone: 208-726-5027    Fax: 208-726-8948
Ashley Brown, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 431 Walnut Ave N, Ketchum, ID 83340
Phone: 208-622-3180    Fax: 208-622-3190

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