Ayana Marie Fordham, MA, LCSW in Apo, AP - Medicare Social Worker Provider

Ayana Marie Fordham, MA, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Apo, Armed Forces Pacific. Her current practice location is 374th Medical Group, Unit 5071, Apo, Armed Forces Pacific. You can reach out to her office (for appointments etc.) via phone at (315) 225-6769.

Ayana Marie Fordham is licensed to practice in Michigan (license number 6801095972) 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 1326285156.

Contact Information

	Ayana Marie Fordham, MA, LCSW
	374th Medical Group, Unit 5071, Apo, AP 96328-5071
	(315) 225-6769
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ayana Marie Fordham
Gender	Female
Speciality	Social Worker - Clinical
Location	374th Medical Group, Apo, Armed Forces Pacific
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326285156
Provider Enumeration Date: 01/15/2009
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4385987213
Enrollment ID: I20190516002373

Medical Identifiers

Medical identifiers for Ayana Marie Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326285156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801095972 (Michigan)	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. Ayana Marie Fordham allows following entities to bill medicare on her behalf.

Entity Name	Re-connect My Life Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548637143 PECOS PAC ID: 2769725696 Enrollment ID: O20190516002275

Entity Name	Mkaddesh Enterprises Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518664069 PECOS PAC ID: 6901130483 Enrollment ID: O20230321000144

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. Ayana Marie Fordham 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
Ayana Marie Fordham, MA, LCSW Unit 5071, Apo, AP 96328-5071 Ph: (315) 225-6769	Ayana Marie Fordham, MA, LCSW 374th Medical Group, Unit 5071, Apo, AP 96328-5071 Ph: (315) 225-6769

Reviews and Comments

Social Worker in Apo, AP

Mr. David Thomas Powell Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Mdos/sgow, Unit 5024, Apo, AP 96319 Phone: 811-767-7212
John Leon Holliday, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Unit 5071 Box Mdg, Apo, AP 96328 Phone: 315-225-7508
Pamela L Blueford, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 51 Mdg Sgoh, Unit 2060, Apo, AP 96278 Phone: 011-823-16612148 Fax: 011-823-16612630
Mrs. Ashley Renee Delavega, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Unit 5269, Apo, AP 96368 Phone: 098-961-0433
Cody Ray Sanders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Unit 15245 Box Brian, Apo, AP 96271 Phone: 210-517-2674
Ms. Young Hee Yoo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Psc 303, Box 48, Apo, AP 96204 Phone: 822-050-57383880
Min Shin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Brian D. Allgood Army Community Hospital (bdaach), Unit 15245, Apo, AP 96273 Phone: 315-737-5799

Ayana Marie Fordham, MA, LCSW - Medicare Clinical Social Worker in Apo, AP