Rosa Irena Footman, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Cocoa, Florida. Her current practice location is
1608 University Ln Apt 1206, Cocoa, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 590-9931.
Rosa Irena Footman is licensed to practice in Florida (license number MT4360) 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 1811626120.
Healthcare Provider's Profile
Full Name | Rosa Irena Footman |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1608 University Ln Apt 1206, Cocoa, Florida |
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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: 1811626120
- Provider Enumeration Date: 06/10/2022
- Last Update Date: 06/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749624047
- Enrollment ID: I20240214003003
Medical Identifiers
Medical identifiers for Rosa Irena Footman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811626120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MT4360 (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. Rosa Irena Footman allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
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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. Rosa Irena Footman 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 |
Rosa Irena Footman, LMFT Po Box 237612, Cocoa, FL 32923-7612 Ph: (407) 590-9931 | Rosa Irena Footman, LMFT 1608 University Ln Apt 1206, Cocoa, FL 32922-5616 Ph: (407) 590-9931 |
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