Ronald D Forgue, QMHP in Chicago, IL - Medicare Counselor Provider

Ronald D Forgue, QMHP is a medicare enrolled "Counselor - Mental Health" provider in Chicago, Illinois. His current practice location is 2608 W 100th St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 445-4784.

Ronald D Forgue is licensed to practice in * (Not Available) (license number ) 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 1073170908.

Contact Information

	Ronald D Forgue, QMHP
	2608 W 100th St, Chicago, IL 60655-1657
	(773) 445-4784
	(708) 575-2876

Map and Direction

Healthcare Provider's Profile

Full Name	Ronald D Forgue
Gender	Male
Speciality	Counselor - Mental Health
Location	2608 W 100th St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073170908
Provider Enumeration Date: 05/27/2019
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0941645477
Enrollment ID: I20240223003351

Medical Identifiers

Medical identifiers for Ronald D Forgue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073170908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178.018519 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Ronald D Forgue allows following entities to bill medicare on his behalf.

Entity Name	Behavior And Crisis Strategies
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124890488 PECOS PAC ID: 7214372747 Enrollment ID: O20240223003283

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. Ronald D Forgue 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
Ronald D Forgue, QMHP 2608 W 100th St, Chicago, IL 60655-1657 Ph: (773) 445-4784	Ronald D Forgue, QMHP 2608 W 100th St, Chicago, IL 60655-1657 Ph: (773) 445-4784

Reviews and Comments

Counselor in Chicago, IL

Ms. Rachel Leigh Greenspan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W Adams St, Chicago, IL 60607 Phone: 312-318-8105 Fax: 312-666-4656
Herbert T Cobbs, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4740 N Clark St, Chicago, IL 60640 Phone: 773-769-0205 Fax: 773-765-0794
Jessica Lynn Schultz, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Roosevelt Rd, Chicago, IL 60608 Phone: 312-996-7457
Michael N Wilson, Counselor Medicare: Medicare Enrolled Practice Location: 1340 S Damen Ave, Chicago, IL 60608 Phone: 312-738-5926 Fax: 312-666-6978
Mrs. Danielle Brandy Webb, LCSW,CADC Counselor Medicare: Medicare Enrolled Practice Location: 4839 W 47th St, Chicago, IL 60638 Phone: 773-735-2345 Fax: 773-735-4025
Mrs. Camila Salvisberg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Michigan Ave Ste 1042, Chicago, IL 60611 Phone: 872-529-0607 Fax: 844-601-5947
Ms. Andrea Nicole Good, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 N Damen Ave, Chicago, IL 60647 Phone: 773-270-0469

Ronald D Forgue, QMHP - Medicare Counselor in Chicago, IL