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SAMUEL RICHARD FORD
NPI 1265193148
Physician Assistant - Surgical in Bangor, ME

Active since January 04, 2022PECOS EnrolledAccepts Medicare Assignment
925 UNION ST STE 3, BANGOR, ME 04401(207) 973-9980 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2024, Dec 14, 2023, Jan 4, 2022 (3 updates tracked since 2022).

About Samuel Richard Ford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL RICHARD FORD (NPI 1265193148) is an individual surgical provider in Bangor, Maine, licensed in Maine (PA2618) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265193148
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSAMUEL RICHARD FORD
Location Address925 UNION ST STE 3Bangor, ME 04401-3051
Mailing Address925 Union St Ste 3Bangor, ME 04401-3051
Phone(207) 973-9980
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 4, 2022
Last NPPES UpdateDecember 12, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1265193148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA2618
925 UNION ST STE 3, Bangor, ME 04401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Richard Ford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921459777
PECOS Enrollment IDI20240105003485
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN ADDITON BRADFORD M.D.
Specialist
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
CARMEN DENISE CROFOOT MD
Orthopaedic Surgery
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
DR. MEGAN JULIA RICHARDS MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
LUCAS C BARTLETT ATC
Specialist/Technologist (Athletic Trainer)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-8839
AMY CURRY ATC
Specialist/Technologist (Athletic Trainer)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
STEPHEN R THOMPSON MD, MED, FRCSC
Orthopaedic Surgery (Sports Medicine)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
OLIVIA RENEE GAUTHIER
Physician Assistant
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
SARA PACKARD ATC
Specialist/Technologist (Athletic Trainer)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-8839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Ford's NPI number?

The NPI number for Samuel Ford is 1265193148. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Samuel Ford located?

Samuel Ford practices at 925 Union St Ste 3, Bangor, ME 04401. The listed phone number is (207) 973-9980.

What is Samuel Ford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samuel Ford enrolled in Medicare?

Yes. Samuel Ford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Ford affiliated with any hospitals?

According to CMS data, Samuel Ford is affiliated with Northern Light Eastern Maine Medical Center and Northern Light Maine Coast Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Ford was last updated on December 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.