Krystal D Fortner, LCSW - Medicare Clinical Social Worker in Richmond, CA

Krystal D Fortner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, California. Her current practice location is 214 Bayside Ct, Richmond, California. You can reach out to her office (for appointments etc.) via phone at (415) 845-8416.

Krystal D Fortner is licensed to practice in California (license number LCS 26019) 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 1588990378.

Contact Information

Krystal D Fortner, LCSW
214 Bayside Ct,
Richmond, CA 94804-7461
(415) 845-8416
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKrystal D Fortner
GenderFemale
SpecialitySocial Worker - Clinical
Location214 Bayside Ct, Richmond, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588990378
  • Provider Enumeration Date: 10/28/2009
  • Last Update Date: 08/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941654354
  • Enrollment ID: I20231003002402

Medical Identifiers

Medical identifiers for Krystal D Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588990378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCS 26019 (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. Krystal D Fortner allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080

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. Krystal D Fortner 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
Krystal D Fortner, LCSW
214 Bayside Ct,
Richmond, CA 94804-7461

Ph: (415) 845-8416
Krystal D Fortner, LCSW
214 Bayside Ct,
Richmond, CA 94804-7461

Ph: (415) 845-8416

Reviews and Comments


Social Worker in Richmond, CA

Phoebe Watts, MSW
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Practice Location: 575 Berk Ave Apt 2, Richmond, CA 94804
Phone: 510-395-1035    
Ms. Susan Miriam Seglin, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 901 Nevin Ave, Richmond, CA 94801
Phone: 510-307-1612    Fax: 510-307-1615
Margaret Mullen,
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Medicare: Medicare Enrolled
Practice Location: 901 Nevin Ave, Richmond, CA 94801
Phone: 510-307-1771    Fax: 510-307-1615
Ms. Diana Baires, ASW
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Practice Location: 205 39th St, Richmond, CA 94805
Phone: 510-412-5930    
Ms. Cynthia Bloomfield, LCSW
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Practice Location: 4175 Lakeside Dr, 150, Richmond, CA 94806
Phone: 510-520-8179    
Michael David Lim, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 901 Nevin Ave, Richmond, CA 94801
Phone: 510-307-1650    Fax: 510-307-1615
Ms. Diana Suzanne Smith, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4101 Macdonald Ave, Richmond, CA 94805
Phone: 510-412-9200    

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.