Audrey Forka, MSN,PMHNP-BC in Havre De Grace, MD

Audrey Forka, MSN,PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Havre De Grace, Maryland. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Upper Chesapeake Medical Services Inc, Norkris Services Inc, Harford Crisis Center Inc and her current practice location is 611 S Union Ave, Havre De Grace, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 526-6133.

Audrey Forka is licensed to practice in Maryland (license number AC001470) 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 1780087213.

Contact Information

	Audrey Forka, MSN,PMHNP-BC
	611 S Union Ave, Havre De Grace, MD 21078-3421
	(443) 526-6133
	(443) 526-6134

Map and Direction

Provider's Profile

Full Name	Audrey Forka
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	611 S Union Ave, Havre De Grace, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Audrey Forka graduated from nursing school in 2015

NPI Data:

NPI Number: 1780087213
Provider Enumeration Date: 09/29/2014
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0648593855
Enrollment ID: I20151202002038

Medical Identifiers

Medical identifiers for Audrey Forka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780087213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC001470 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Md Harford Memorial Hospital	Havre de grace, MD	Hospital
Umd Upper Chesapeake Medical Center	Bel air, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Upper Chesapeake Medical Services Inc	3173556974	16
Norkris Services Inc	3375848625	4
Harford Crisis Center Inc	6002726007	13

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. Audrey Forka allows following entities to bill medicare on her behalf.

Entity Name	Upper Chesapeake Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497801419 PECOS PAC ID: 3173556974 Enrollment ID: O20050913000525

Entity Name	Norkris Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487025094 PECOS PAC ID: 3375848625 Enrollment ID: O20160224000847

Entity Name	Harford Crisis Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508334459 PECOS PAC ID: 6002726007 Enrollment ID: O20190424000345

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. Audrey Forka 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
Audrey Forka, MSN,PMHNP-BC 501 S Union Ave, Behavioral Health Unit, Havre De Grace, MD 21078-3409 Ph: (609) 598-2298	Audrey Forka, MSN,PMHNP-BC 611 S Union Ave, Havre De Grace, MD 21078-3421 Ph: (443) 526-6133

Reviews and Comments

Nurse Practitioner Nurses in Havre De Grace, MD

Ms. Regina Marie Toal, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2027 Pulaski Hwy Ste 206, Havre De Grace, MD 21078 Phone: 443-643-4222
Constance Noll, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 S Union Ave, Havre De Grace, MD 21078 Phone: 410-843-8800
Lynda Boegner, CRNP-F, PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 253 Lewis Ln Ste 202, Havre De Grace, MD 21078 Phone: 410-378-9696 Fax: 410-378-9922
Mrs. Lindsey Noel Collins, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 N Union Ave, Havre De Grace, MD 21078 Phone: 410-939-3121
Carla Dimiris, APRN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Lewis St, Havre De Grace, MD 21078 Phone: 443-526-6133 Fax: 443-526-6134
Joyce Chinyere Awujor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 S Union Ave, Havre De Grace, MD 21078 Phone: 443-739-2687 Fax: 443-526-6134
Ms. Christina Lucille Darling, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 S Union Ave, Havre De Grace, MD 21078 Phone: 410-939-5843 Fax: 410-939-3538

Audrey Forka, MSN,PMHNP-BC - Medicare Nurse Practitioner in Havre De Grace, MD