Angelica Grace Fortenberry, MSW, LCSW in Independence, MO

Angelica Grace Fortenberry, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Independence, Missouri. Her current practice location is 17844 E 23rd St S, Independence, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 254-3652.

Angelica Grace Fortenberry is licensed to practice in Missouri (license number 2024000988) 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 1629734322.

Contact Information

	Angelica Grace Fortenberry, MSW, LCSW
	17844 E 23rd St S, Independence, MO 64057-1840
	(816) 254-3652
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angelica Grace Fortenberry
Gender	Female
Speciality	Social Worker - Clinical
Location	17844 E 23rd St S, Independence, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629734322
Provider Enumeration Date: 11/17/2021
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4981057734
Enrollment ID: I20240127000714

Medical Identifiers

Medical identifiers for Angelica Grace Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629734322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2024000988 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angelica Grace Fortenberry allows following entities to bill medicare on her behalf.

Entity Name	Burrell, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372

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. Angelica Grace Fortenberry 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 Address	Practice Location Address
Angelica Grace Fortenberry, MSW, LCSW Po Box 260, Independence, MO 64051-0260 Ph: (816) 254-3652	Angelica Grace Fortenberry, MSW, LCSW 17844 E 23rd St S, Independence, MO 64057-1840 Ph: (816) 254-3652

Reviews and Comments

Social Worker in Independence, MO

Evan E Gamsu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Mechanic Ave, Independence, MO 64050 Phone: 913-269-0577
Heather M Hayes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652
Mrs. Barbara Jane Dickerson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12600e Us Highway 40 101, Independence, MO 64055 Phone: 816-405-1341 Fax: 816-753-7744
Lindsay O Moore, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652
Erin M Laney, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652
Ms. Becky Wendt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11004 E Us Highway 40, Independence, MO 64055 Phone: 816-806-6252
Ms. Gloria A Egner Jester, LCSW KS LCSW MO Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 S Cedarcrest Ct, Suite 12, Independence, MO 64055 Phone: 816-350-7179 Fax: 816-350-3962

Angelica Grace Fortenberry, MSW, LCSW - Medicare Clinical Social Worker in Independence, MO