Craigirita Randianne Ferguson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Lauderdale, Florida. Her current practice location is
2630 W Broward Blvd Ste 203-1235, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 673-7727.
Craigirita Randianne Ferguson is licensed to practice in Florida (license number SW22873) 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 1013762012.
Healthcare Provider's Profile
| Full Name | Craigirita Randianne Ferguson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2630 W Broward Blvd Ste 203-1235, Fort Lauderdale, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013762012
- Provider Enumeration Date: 04/22/2024
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547788952
- Enrollment ID: I20250520000741
Medical Identifiers
Medical identifiers for Craigirita Randianne Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013762012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | SW22873 (Florida) | Secondary |
| 104100000X | Social Worker | SW22873 (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SW22873 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW22873 (Florida) | Secondary |
| 101YP2500X | Counselor - Professional | SW22873 (Florida) | Secondary |
| 1041S0200X | Social Worker - School | SW22873 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW22873 (Florida) | 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. Craigirita Randianne Ferguson allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240903004312 |
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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. Craigirita Randianne Ferguson 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 |
|---|
Craigirita Randianne Ferguson, LCSW
2720 Somerset Dr Apt 106,
Lauderdale Lakes, FL 33311-8502
Ph: (954) 673-7727 | Craigirita Randianne Ferguson, LCSW
2630 W Broward Blvd Ste 203-1235,
Fort Lauderdale, FL 33312-1314
Ph: (954) 673-7727 |
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