Mrs Kristen Moore Forgue, MS CCCSLP in Lakeland, FL - Medicare Speech-Language Pathologist Provider

Mrs Kristen Moore Forgue, MS CCCSLP is a medicare enrolled "Speech-language Pathologist" provider in Lakeland, Florida. Her current practice location is 710 E Bella Vista St, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 686-3189.

Mrs Kristen Moore Forgue is licensed to practice in Florida (license number SA6273) 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 1275567174.

Contact Information

	Mrs Kristen Moore Forgue, MS CCCSLP
	710 E Bella Vista St, Lakeland, FL 33805
	(863) 686-3189
	(863) 682-1348

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristen Moore Forgue
Gender	Female
Speciality	Speech-language Pathologist
Location	710 E Bella Vista St, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275567174
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3779767165
Enrollment ID: I20110408000547

Medical Identifiers

Medical identifiers for Mrs Kristen Moore Forgue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275567174	NPI	-	NPPES
114969	Other	FL	AMERIGROUP
11982301	Other	FL	CITRUS HEALTHCARE
244	Other	FL	ATA
S2868	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA6273 (Florida)	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. Mrs Kristen Moore Forgue allows following entities to bill medicare on her behalf.

Provider Name	Central Florida Speech & Hearing Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336171826 PECOS PAC ID: 6002893484 Enrollment ID: O20040702000660

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. Mrs Kristen Moore Forgue 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
Mrs Kristen Moore Forgue, MS CCCSLP 710 E Bella Vista St, Lakeland, FL 33805 Ph: (863) 686-3189	Mrs Kristen Moore Forgue, MS CCCSLP 710 E Bella Vista St, Lakeland, FL 33805 Ph: (863) 686-3189

Reviews and Comments

Speech-Language Pathologist in Lakeland, FL

Alicia Harris, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1335 Ariana St, Lakeland, FL 33803 Phone: 863-413-0802 Fax: 863-813-0812
Ashley Fagan, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3110 Oakbridge Blvd E, Lakeland, FL 33803 Phone: 863-648-4800
Ms. Graysen Mae Delegge, M.ED., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1215 E Orange St, Lakeland, FL 33801 Phone: 863-802-3800
Sarah Almaguer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1755 N Florida Ave, Lakeland, FL 33805 Phone: 863-904-6200 Fax: 866-264-8519
Amanda Lynn Gilbert, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1335 Ariana St, Lakeland, FL 33803 Phone: 863-413-0802
Shelby Witherspoon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1215 E Orange St, Lakeland, FL 33801 Phone: 863-802-3800
Chelsea Hall Lauer, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4664 E County Road 540a, Lakeland, FL 33813 Phone: 863-583-4401

Mrs Kristen Moore Forgue, MS CCCSLP - Medicare Speech-Language Pathologist in Lakeland, FL