Kelly E Fordyce Md A Medical Corporation - Medicare Primary Care in Ladera Ranch, CA

Kelly E Fordyce Md A Medical Corporation is a medicare enrolled primary clinic (Internal Medicine) in Ladera Ranch, California. The current practice location for Kelly E Fordyce Md A Medical Corporation is 777 Corporate Dr Ste 140, Ladera Ranch, California. For appointments, you can reach them via phone at (949) 409-4868. The mailing address for Kelly E Fordyce Md A Medical Corporation is 777 Corporate Dr Ste 140, Ladera Ranch, California and phone number is (949) 409-4868.

Kelly E Fordyce Md A Medical Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831772417. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (949) 409-4868.

Contact Information

Kelly E Fordyce Md A Medical Corporation
777 Corporate Dr Ste 140
Ladera Ranch
CA 92694-2136
(949) 409-4868
(949) 409-4898

Primary Care Clinic Profile

Full NameKelly E Fordyce Md A Medical Corporation
SpecialityInternal Medicine
Location777 Corporate Dr Ste 140, Ladera Ranch, California
Authorized Official Name and PositionKelly E Fordyce (OWNER)
Authorized Official Contact9495738335
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly E Fordyce Md A Medical Corporation
777 Corporate Dr Ste 140
Ladera Ranch
CA 92694-2136

Ph: (949) 409-4868
Kelly E Fordyce Md A Medical Corporation
777 Corporate Dr Ste 140
Ladera Ranch
CA 92694-2136

Ph: (949) 409-4868

NPI Details:

NPI Number1831772417
Provider Enumeration Date05/03/2021
Last Update Date06/01/2021

Medicare PECOS Information:

Medicare PECOS PAC ID9638579360
Medicare Enrollment IDO20210616002638

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Medical Identifiers

Medical identifiers for Kelly E Fordyce Md A Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831772417NPI-NPPES
00A732940MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kelly E Fordyce Md A Medical Corporation acts as a billing entity for following providers:
Provider NameKelly Elizabeth Fordyce
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477531481
PECOS PAC ID: 6103729538
Enrollment ID: I20040131000290

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HEXIM1 gene makes heart healthier, suppresses breast cancer metastasis

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Counting calories that burn through activity is a constant quandary.

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› Verified 3 days ago


Internal Medicine in Ladera Ranch, CA

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