Stephanie Elizabeth Formoso, LCSW in Ocoee, FL - Medicare Social Worker Provider

Stephanie Elizabeth Formoso, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ocoee, Florida. Her current practice location is 10125 W Colonial Dr Ste 212, Ocoee, Florida. You can reach out to her office (for appointments etc.) via phone at (833) 769-3524.

Stephanie Elizabeth Formoso is licensed to practice in Florida (license number SW23779) 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 1477048064.

Contact Information

	Stephanie Elizabeth Formoso, LCSW
	10125 W Colonial Dr Ste 212, Ocoee, FL 34761-4200
	(833) 769-3524
	(407) 232-9439

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Elizabeth Formoso
Gender	Female
Speciality	Social Worker - Clinical
Location	10125 W Colonial Dr Ste 212, Ocoee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477048064
Provider Enumeration Date: 06/26/2018
Last Update Date: 11/14/2024

Medicare PECOS Information:

PECOS PAC ID: 9931635299
Enrollment ID: I20241210001907

Medical Identifiers

Medical identifiers for Stephanie Elizabeth Formoso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477048064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW23779 (Florida)	Primary
1041C0700X	Social Worker - Clinical	098581 (New York)	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. Stephanie Elizabeth Formoso allows following entities to bill medicare on her behalf.

Entity Name	Integrity Social Work Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972715456 PECOS PAC ID: 4880609528 Enrollment ID: O20060216000120

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. Stephanie Elizabeth Formoso 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
Stephanie Elizabeth Formoso, LCSW 1978 Westhill Run, Windermere, FL 34786-6229 Ph: () -	Stephanie Elizabeth Formoso, LCSW 10125 W Colonial Dr Ste 212, Ocoee, FL 34761-4200 Ph: (833) 769-3524

Reviews and Comments

Social Worker in Ocoee, FL

Derrick Omar Stephens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 256 Wallrock Ct, Ocoee, FL 34761 Phone: 407-770-7026
Alexei-ann G. German, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1746 E Silver Star Rd # 109, Ocoee, FL 34761 Phone: 407-476-7011
Fransheska M Cardona-leon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 529 E Crown Point Rd Ste 120, Ocoee, FL 34761 Phone: 407-930-4711
Mrs. Wilmise Mimise Gowins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1115 Orange Arbour Trl Apt 403, Ocoee, FL 34761 Phone: 407-782-0439
Ms. Nicole Morel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1240 Sandy Cv, Ocoee, FL 34761 Phone: 202-683-0606
Mariah Deramo Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 Palio Ct, Ocoee, FL 34761 Phone: 941-323-1999
Robin Lynne Gallant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 694 Canby Cir, Ocoee, FL 34761 Phone: 407-488-2295

Stephanie Elizabeth Formoso, LCSW - Medicare Clinical Social Worker in Ocoee, FL