Krystal D Fortner, LCSW in Richmond, CA - Medicare Social Worker Provider

Krystal D Fortner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, California. Her current practice location is 214 Bayside Ct, Richmond, California. You can reach out to her office (for appointments etc.) via phone at (415) 845-8416.

Krystal D Fortner is licensed to practice in California (license number LCS 26019) 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 1588990378.

Contact Information

	Krystal D Fortner, LCSW
	214 Bayside Ct, Richmond, CA 94804-7461
	(415) 845-8416
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krystal D Fortner
Gender	Female
Speciality	Social Worker - Clinical
Location	214 Bayside Ct, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588990378
Provider Enumeration Date: 10/28/2009
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0941654354
Enrollment ID: I20231003002402

Medical Identifiers

Medical identifiers for Krystal D Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588990378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS 26019 (California)	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. Krystal D Fortner allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Krystal D Fortner 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
Krystal D Fortner, LCSW 214 Bayside Ct, Richmond, CA 94804-7461 Ph: (415) 845-8416	Krystal D Fortner, LCSW 214 Bayside Ct, Richmond, CA 94804-7461 Ph: (415) 845-8416

Reviews and Comments

Social Worker in Richmond, CA

Phoebe Watts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 575 Berk Ave Apt 2, Richmond, CA 94804 Phone: 510-395-1035
Ms. Susan Miriam Seglin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1612 Fax: 510-307-1615
Margaret Mullen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1771 Fax: 510-307-1615
Ms. Diana Baires, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 39th St, Richmond, CA 94805 Phone: 510-412-5930
Ms. Cynthia Bloomfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4175 Lakeside Dr, 150, Richmond, CA 94806 Phone: 510-520-8179
Michael David Lim, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1650 Fax: 510-307-1615
Ms. Diana Suzanne Smith, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4101 Macdonald Ave, Richmond, CA 94805 Phone: 510-412-9200

Krystal D Fortner, LCSW - Medicare Clinical Social Worker in Richmond, CA