Mrs Rachel Lynn Fornicola, LCSW in West Long Branch, NJ

Mrs Rachel Lynn Fornicola, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Long Branch, New Jersey. Her current practice location is 33 Community Dr, West Long Branch, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 682-3057.

Mrs Rachel Lynn Fornicola is licensed to practice in New Jersey (license number 44SC06118800) 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 1154972560.

Contact Information

	Mrs Rachel Lynn Fornicola, LCSW
	33 Community Dr, West Long Branch, NJ 07764-1663
	(732) 682-3057
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Rachel Lynn Fornicola
Gender	Female
Speciality	Social Worker - Clinical
Location	33 Community Dr, West Long Branch, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154972560
Provider Enumeration Date: 09/26/2019
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 7911376967
Enrollment ID: I20221213002736

Medical Identifiers

Medical identifiers for Mrs Rachel Lynn Fornicola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154972560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC06118800 (New Jersey)	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. Mrs Rachel Lynn Fornicola allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Psychology Of Nj Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356840003 PECOS PAC ID: 6002162252 Enrollment ID: O20180702002104

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. Mrs Rachel Lynn Fornicola 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
Mrs Rachel Lynn Fornicola, LCSW 33 Community Dr, West Long Branch, NJ 07764-1663 Ph: (732) 682-3057	Mrs Rachel Lynn Fornicola, LCSW 33 Community Dr, West Long Branch, NJ 07764-1663 Ph: (732) 682-3057

Reviews and Comments

Social Worker in West Long Branch, NJ

Andrea Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 Highway 36 Ste B1, West Long Branch, NJ 07764 Phone: 732-222-8008
Ms. Ashley Nicole Gwathney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Eunice Ln, West Long Branch, NJ 07764 Phone: 732-996-9628
Ms. Lauren Salani, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Monmouth Rd, Suite 104, West Long Branch, NJ 07764 Phone: 732-542-2638 Fax: 732-542-2620
Gladys Bernabe Crasta, LCSW/MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 265 Route 36 Ste 106, West Long Branch, NJ 07764 Phone: 848-456-4601 Fax: 848-456-4607
Michele Czechowski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1049 Broadway Ste 2, West Long Branch, NJ 07764 Phone: 732-947-7551
Ms. Ashley Lobbato, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1052 Broadway, West Long Branch, NJ 07764 Phone: 732-673-8956

Mrs Rachel Lynn Fornicola, LCSW - Medicare Clinical Social Worker in West Long Branch, NJ