Justin Forrest Dement, LCSW - Medicare Clinical Social Worker in Saint Augustine, FL

Justin Forrest Dement, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Augustine, Florida. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 4925 Atlantic Vw, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (662) 315-8357.

Justin Forrest Dement is licensed to practice in Florida (license number SW14624) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285149823.

Contact Information

Justin Forrest Dement, LCSW
4925 Atlantic Vw,
Saint Augustine, FL 32080-7139
(662) 315-8357
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJustin Forrest Dement
GenderMale
SpecialityClinical Social Worker
Experience12 Years
Location4925 Atlantic Vw, Saint Augustine, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Forrest Dement graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1285149823
  • Provider Enumeration Date: 12/05/2017
  • Last Update Date: 06/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8224397104
  • Enrollment ID: I20180123000576

Medical Identifiers

Medical identifiers for Justin Forrest Dement such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285149823NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW14624 (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. Justin Forrest Dement allows following entities to bill medicare on his behalf.
Entity NameRefresh Canopy Cove, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730661752
PECOS PAC ID: 3779822119
Enrollment ID: O20190304000354
Entity NameA Safe Port Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982380648
PECOS PAC ID: 9234580853
Enrollment ID: O20240109000239
Entity NameOptum Behavioral Care Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033984448
PECOS PAC ID: 5092120030
Enrollment ID: O20240401000110

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. Justin Forrest Dement 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 AddressPractice Location Address
Justin Forrest Dement, LCSW
1301 Plantation Island Dr S Ste 202a,
Saint Augustine, FL 32080-3111

Ph: (662) 315-8357
Justin Forrest Dement, LCSW
4925 Atlantic Vw,
Saint Augustine, FL 32080-7139

Ph: (662) 315-8357

Reviews and Comments


Social Worker in Saint Augustine, FL

Allyson Allen, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 59 Narvarez Ave, Saint Augustine, FL 32084
Phone: 904-614-1045    
Bethany Kleinhans, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Plantation Island Dr S Ste 206a, Saint Augustine, FL 32080
Phone: 904-420-0580    
Mrs. Joan Tibaldi, LCSW, BCD
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 612 Copperhead Cir, Saint Augustine, FL 32092
Phone: 904-679-4321    
Mr. Taylor Craig Johnston Jr., LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 38 S Dixie Hwy, Saint Augustine, FL 32084
Phone: 904-201-9894    
Cheryl Anne Ubelhor Kotyuk,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 Long Branch Way, Saint Augustine, FL 32086
Phone: 765-491-8142    
Jill M Meehan, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 105 Southpark Blvd Ste 202, Saint Augustine, FL 32086
Phone: 904-540-0999    
Lisa Marie Harvey, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1880 San Sebastian Vw, Saint Augustine, FL 32084
Phone: 386-383-1934    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.