Douglas Foresta, LICSW in Chicopee, MA - Medicare Social Worker Provider

Douglas Foresta, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Chicopee, Massachusetts. His current practice location is 71 Mary St, Chicopee, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 737-9544.

Douglas Foresta is licensed to practice in Massachusetts (license number 116690) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124238415.

Contact Information

	Douglas Foresta, LICSW
	71 Mary St, Chicopee, MA 01020-1139
	(413) 737-9544
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Foresta
Gender	Male
Speciality	Social Worker - Clinical
Location	71 Mary St, Chicopee, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124238415
Provider Enumeration Date: 05/23/2007
Last Update Date: 12/30/2011

Medicare PECOS Information:

PECOS PAC ID: 4082871652
Enrollment ID: I20120209000296

Medical Identifiers

Medical identifiers for Douglas Foresta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124238415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	116690 (Massachusetts)	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. Douglas Foresta allows following entities to bill medicare on his behalf.

Entity Name	Northeast Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643

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. Douglas Foresta 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
Douglas Foresta, LICSW 90 Walnut St, #2r, Chicopee, MA 01020-1857 Ph: (413) 883-5518	Douglas Foresta, LICSW 71 Mary St, Chicopee, MA 01020-1139 Ph: (413) 737-9544

Reviews and Comments

Social Worker in Chicopee, MA

Jillian Hynek, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Wanda St, Chicopee, MA 01013 Phone: 413-592-4824
Jeanne Martineau, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Springfield St Apt 323, Chicopee, MA 01013 Phone: 413-231-2025
Ms. Sara Jean May, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 141 Waite Ave, Chicopee, MA 01020 Phone: 413-284-7764 Fax: 413-304-3993
Donna Hall Adams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 617 Montgomery St, Chicopee, MA 01020 Phone: 413-594-3560 Fax: 413-594-3491
Tori Bisciotti, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 2nd Ave, Chicopee, MA 01020 Phone: 413-420-0115
Melissa C Carriveau, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 269 Moore St, Chicopee, MA 01013 Phone: 413-592-6069 Fax: 413-598-8430

Douglas Foresta, LICSW - Medicare Clinical Social Worker in Chicopee, MA