Mr George Stephen Forgeng Jr, MSN, PMHNP-BC in San Diego, CA

Mr George Stephen Forgeng Jr, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. His current practice location is 3491 Kurtz St Ste 150, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (818) 468-3255.

Mr George Stephen Forgeng Jr is licensed to practice in California (license number 95003946) 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 1760859508.

Contact Information

	Mr George Stephen Forgeng Jr, MSN, PMHNP-BC
	3491 Kurtz St Ste 150, San Diego, CA 92110-4430
	(818) 468-3255
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr George Stephen Forgeng Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3491 Kurtz St Ste 150, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760859508
Provider Enumeration Date: 08/27/2015
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0345505095
Enrollment ID: I20181211002528

Medical Identifiers

Medical identifiers for Mr George Stephen Forgeng Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760859508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95003946 (California)	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. Mr George Stephen Forgeng Jr allows following entities to bill medicare on his behalf.

Entity Name	County Of San Luis Obispo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134287634 PECOS PAC ID: 9032020094 Enrollment ID: O20050407000794

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

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. Mr George Stephen Forgeng Jr 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
Mr George Stephen Forgeng Jr, MSN, PMHNP-BC 4977 Southcrest Ave, San Diego, CA 92110-1245 Ph: (818) 468-3255	Mr George Stephen Forgeng Jr, MSN, PMHNP-BC 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 Ph: (818) 468-3255

Reviews and Comments

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Mr George Stephen Forgeng Jr, MSN, PMHNP-BC - Medicare Nurse Practitioner in San Diego, CA