Brooke Fortenberry, LCSW in Orange, CT - Medicare Clinical Social Worker Provider

Brooke Fortenberry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Orange, Connecticut. She went to University Of Connecticut School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Impact Health Psych Pc and her current practice location is 240 Indian River Rd Ste C, Orange, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 497-3867.

Brooke Fortenberry is licensed to practice in Connecticut (license number 11002) 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 1700415379.

Contact Information

	Brooke Fortenberry, LCSW
	240 Indian River Rd Ste C, Orange, CT 06477-3649
	(203) 497-3867
	(203) 298-0494

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Fortenberry
Gender	Female
Speciality	Clinical Social Worker
Experience	6 Years
Location	240 Indian River Rd Ste C, Orange, Connecticut
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:

Brooke Fortenberry attended and graduated from University Of Connecticut School Of Medicine in 2018

NPI Data:

NPI Number: 1700415379
Provider Enumeration Date: 04/06/2020
Last Update Date: 04/06/2020

Medicare PECOS Information:

PECOS PAC ID: 7517397672
Enrollment ID: I20200414001809

Medical Identifiers

Medical identifiers for Brooke Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700415379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11002 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Impact Health Psych Pc	6204248149	12

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. Brooke Fortenberry allows following entities to bill medicare on her behalf.

Entity Name	Impact Health P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315

Entity Name	Impact Health Psych Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730781022 PECOS PAC ID: 6204248149 Enrollment ID: O20201217000105

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. Brooke Fortenberry 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
Brooke Fortenberry, LCSW 240 Indian River Rd Ste C, Orange, CT 06477-3649 Ph: (203) 497-3867	Brooke Fortenberry, LCSW 240 Indian River Rd Ste C, Orange, CT 06477-3649 Ph: (203) 497-3867

Reviews and Comments

Social Worker in Orange, CT

Colleen H Conroy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Old Tavern Rd Unit 120, Orange, CT 06477 Phone: 203-553-9949 Fax: 203-553-9946
Mary C.e. Robbins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 507 Turkey Hill Rd, Orange, CT 06477 Phone: 203-687-3096
Mrs. Meagan Lynn Scott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 370 Boston Post Rd, Orange, CT 06477 Phone: 203-767-9966
Ms. Marilyn Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 161 New Haven Ave, Orange, CT 06477 Phone: 203-394-8324
Ms. Constance Catrone, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 236 Boston Post Rd, Orange, CT 06477 Phone: 203-795-1118 Fax: 203-795-1118
Mr. Harry Rosenberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 Robert Treat Dr, Orange, CT 06477 Phone: 203-988-1629 Fax: 203-288-3655
Meghan Bova, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 626 S Greenbrier Dr, Orange, CT 06477 Phone: 203-687-9141

Brooke Fortenberry, LCSW - Medicare Clinical Social Worker in Orange, CT