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Lisa Amy Ford

Counselor

Behavioral Health & Social Service Providers

4 Cornerstone Dr, Langhorne, PA 19047-1314

PECOS Enrollment

This provider is enrolled in PECOS as LISA FORD.

Based on the most recent information from CMS, provider Lisa Amy Ford is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1437825882
Provider Type
Individual
Full Name
Ford, Lisa Amy
Title
Ms.
Credential
MS

Gender
Female
Sole Proprietor
No
Enumeration Date
8/17/2021
Last Updated
8/17/2021

Contact Information

Practice Location

4 Cornerstone Dr, Langhorne, PA 19047-1314

(215) 757-6916

Unlisted Fax

Mailing Location

4 Cornerstone Dr, Langhorne, PA 19047-1314

(215) 757-6916

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Lisa Amy Ford

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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