Brianna Rose Fonti, MA is a medicare enrolled "Speech-language Pathologist" provider in Mastic Beach, New York. Her current practice location is
336 Blanco Dr, Mastic Beach, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 874-1342.
Brianna Rose Fonti is licensed to practice in * (Not Available) (license number ) 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 1134602089.
Healthcare Provider's Profile
| Full Name | Brianna Rose Fonti |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 336 Blanco Dr, Mastic Beach, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134602089
- Provider Enumeration Date: 09/06/2018
- Last Update Date: 10/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830519990
- Enrollment ID: I20201012002492
Medical Identifiers
Medical identifiers for Brianna Rose Fonti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134602089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Brianna Rose Fonti allows following entities to bill medicare on her behalf.
| Provider Name | Fox Rehabilitation Physical Therapy Services Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1174560650
PECOS PAC ID: 1355395179
Enrollment ID: O20061023000060 |
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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. Brianna Rose Fonti 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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Brianna Rose Fonti, MA
Po Box 789,
Calverton, NY 11933-0789
Ph: () - | Brianna Rose Fonti, MA
336 Blanco Dr,
Mastic Beach, NY 11951-1021
Ph: (631) 874-1342 |
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