Mr Forest Colstrom, LCSW in Los Angeles, CA - Medicare Social Worker Provider

Mr Forest Colstrom, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is 1200 Wilshire Blvd, Suite 210, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 481-7464.

Mr Forest Colstrom is licensed to practice in California (license number LCSW 25536) 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 1265564330.

Contact Information

	Mr Forest Colstrom, LCSW
	1200 Wilshire Blvd, Suite 210, Los Angeles, CA 90017-1908
	(213) 481-7464
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Forest Colstrom
Gender	Male
Speciality	Social Worker - Clinical
Location	1200 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265564330
Provider Enumeration Date: 03/12/2007
Last Update Date: 03/01/2012

Medicare PECOS Information:

PECOS PAC ID: 7517180144
Enrollment ID: I20140528001709

Medical Identifiers

Medical identifiers for Mr Forest Colstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265564330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW 25536 (California)	Primary
104100000X	Social Worker	ASW24979 (California)	Secondary

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. Mr Forest Colstrom allows following entities to bill medicare on his behalf.

Entity Name	Los Angeles Lgbt Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020

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. Mr Forest Colstrom 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
Mr Forest Colstrom, LCSW 4401 Moorpark Way Apt 304, Toluca Lake, CA 91602-2472 Ph: (310) 686-4656	Mr Forest Colstrom, LCSW 1200 Wilshire Blvd, Suite 210, Los Angeles, CA 90017-1908 Ph: (213) 481-7464

Reviews and Comments

Social Worker in Los Angeles, CA

Myla T Howell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1605 Eastlake Ave, Los Angeles, CA 90033 Phone: 323-226-1871
Lucy S Villegas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 E 120th St, Los Angeles, CA 90059 Phone: 310-668-3201
Ms. Janie Michaels Grauman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Ave, Los Angeles, CA 90036 Phone: 323-634-3802 Fax: 323-634-3870
Jill Marie Stonerock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6957 N Figueroa St, Los Angeles, CA 90042 Phone: 323-443-3175
Kathy Estrada Montes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 S Beaudry Ave, Los Angeles, CA 90017 Phone: 213-241-3841
Marc Richard Russak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1081 Westwood Blvd Ste 221, Los Angeles, CA 90024 Phone: 310-800-3986
Janet S. Cazares, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Los Angeles, CA 90012 Phone: 310-668-3141

Mr Forest Colstrom, LCSW - Medicare Clinical Social Worker in Los Angeles, CA