Alyson M Fortner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
2116 Arlington Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 334-9000.
Alyson M Fortner is licensed to practice in California (license number 104592) 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 1235769894.
Healthcare Provider's Profile
Full Name | Alyson M Fortner |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2116 Arlington Ave, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235769894
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 10/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678954955
- Enrollment ID: I20220718002534
Medical Identifiers
Medical identifiers for Alyson M Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235769894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 93013 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 104592 (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. Alyson M Fortner allows following entities to bill medicare on her behalf.
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
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Entity Name | The People Concern |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306977459 PECOS PAC ID: 7214150382 Enrollment ID: O20210108002442 |
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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. Alyson M 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 |
Alyson M Fortner, LCSW 2116 Arlington Ave, Los Angeles, CA 90018-1353 Ph: (323) 334-9000 | Alyson M Fortner, LCSW 2116 Arlington Ave, Los Angeles, CA 90018-1353 Ph: (323) 334-9000 |
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