Christina Juliana Forde, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Rockaway Park, New York. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is
11506 Beach Channel Dr Ste 202, Rockaway Park, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 318-6021.
Christina Juliana Forde is licensed to practice in New York (license number 304707) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417484494.
Physician's Profile
| Full Name | Christina Juliana Forde |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 7 Years |
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| Location | 11506 Beach Channel Dr Ste 202, Rockaway Park, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christina Juliana Forde graduated from medical school in 2017
NPI Data:
- NPI Number: 1417484494
- Provider Enumeration Date: 05/22/2017
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557615101
- Enrollment ID: I20210407000928
Medical Identifiers
Medical identifiers for Christina Juliana Forde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417484494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 304707 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Medical Pc | 3375701568 | 5120 |
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. Christina Juliana Forde allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Christina Juliana Forde 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 |
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Christina Juliana Forde, MD
11506 Beach Channel Dr Ste 202,
Rockaway Park, NY 11694-2113
Ph: (718) 318-6021 | Christina Juliana Forde, MD
11506 Beach Channel Dr Ste 202,
Rockaway Park, NY 11694-2113
Ph: (718) 318-6021 |
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