Mr Domanique Cody Forbes, MS, OTR/L in Fairfield, CA - Medicare Occupational Therapist Provider

Mr Domanique Cody Forbes, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Fairfield, California. His current practice location is 2560 N Texas St Ste J, Fairfield, California. You can reach out to his office (for appointments etc.) via phone at (707) 330-6949.

Mr Domanique Cody Forbes is licensed to practice in California (license number 19962) 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 1538724893.

Contact Information

	Mr Domanique Cody Forbes, MS, OTR/L
	2560 N Texas St Ste J, Fairfield, CA 94533-1649
	(707) 330-6949
	(707) 425-2543

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Domanique Cody Forbes
Gender	Male
Speciality	Occupational Therapist
Location	2560 N Texas St Ste J, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538724893
Provider Enumeration Date: 05/02/2019
Last Update Date: 05/02/2019

Medicare PECOS Information:

PECOS PAC ID: 7416375530
Enrollment ID: I20200922000386

Medical Identifiers

Medical identifiers for Mr Domanique Cody Forbes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538724893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	19962 (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 Domanique Cody Forbes allows following entities to bill medicare on his behalf.

Provider Name	Northbay Healthcare Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409

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 Domanique Cody Forbes 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 Domanique Cody Forbes, MS, OTR/L 3700 Lyon Rd Apt 227, Fairfield, CA 94534-7984 Ph: (423) 677-8615	Mr Domanique Cody Forbes, MS, OTR/L 2560 N Texas St Ste J, Fairfield, CA 94533-1649 Ph: (707) 330-6949

Reviews and Comments

Occupational Therapist in Fairfield, CA

Cristina Marissa Cummings, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Empire St, Fairfield, CA 94533 Phone: 707-425-5744 Fax: 707-425-5162
Whitney E Rosenberg, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 Oliver Rd, Suite 200, Fairfield, CA 94534 Phone: 707-428-1311 Fax: 707-428-1354
Verona Boucher, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3251 Formby Ln, Fairfield, CA 94534 Phone: 856-673-8441
Jonathan Tin Chee Lum, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2702 Low Ct, Fairfield, CA 94534 Phone: 707-432-2660
Stephanie Leigh Westfahl, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Estates Dr, Laurel Creek Health Care At Paradise Valley Estates, Fairfield, CA 94533 Phone: 707-432-1218
Betsy Mccormick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-7899
Lori Rene Russell, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2500 Hilborn Rd, Fairfield, CA 94534 Phone: 707-646-5599 Fax: 707-646-5574

Mr Domanique Cody Forbes, MS, OTR/L - Medicare Occupational Therapist in Fairfield, CA