Laurie M Forman, MS SOCIAL WORK in Bellmore, NY - Medicare Clinical Social Worker Provider

Laurie M Forman, MS SOCIAL WORK is a medicare enrolled "Social Worker - Clinical" provider in Bellmore, New York. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Nassau Guidance Counseling And Licensed Clinical Social Work Services and his current practice location is 2631 Merrick Rd, Ste 205, Bellmore, New York. You can reach out to his office (for appointments etc.) via phone at (516) 679-6673.

Laurie M Forman is licensed to practice in New York (license number R0317371) 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 1962508291.

Contact Information

	Laurie M Forman, MS SOCIAL WORK
	2631 Merrick Rd, Ste 205, Bellmore, NY 11710
	(516) 679-6673
	(516) 679-6673

Map and Direction

Healthcare Provider's Profile

Full Name	Laurie M Forman
Gender	Male
Speciality	Clinical Social Worker
Experience	40 Years
Location	2631 Merrick Rd, Bellmore, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laurie M Forman graduated from medical school in 1984

NPI Data:

NPI Number: 1962508291
Provider Enumeration Date: 09/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7214038769
Enrollment ID: I20070727000239

Medical Identifiers

Medical identifiers for Laurie M Forman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962508291	NPI	-	NPPES
00244817	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	R0317371 (New York)	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. Laurie M Forman allows following entities to bill medicare on his behalf.

Entity Name	Peninsula Counseling Center,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437262839 PECOS PAC ID: 2668361353 Enrollment ID: O20040311000882

Entity Name	Nassau Guidance Counseling & Licensed Clinical Social Work Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609923515 PECOS PAC ID: 1658408448 Enrollment ID: O20100428000028

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. Laurie M Forman 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
Laurie M Forman, MS SOCIAL WORK 2631 Merrick Rd, Ste 205, Bellmore, NY 11710 Ph: (516) 679-6673	Laurie M Forman, MS SOCIAL WORK 2631 Merrick Rd, Ste 205, Bellmore, NY 11710 Ph: (516) 679-6673

Reviews and Comments

Social Worker in Bellmore, NY

Carole Rutkovsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Pettit Ave, Bellmore, NY 11710 Phone: 516-382-3733
Mrs. Marla A Burstyn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2397 Legion St, Bellmore, NY 11710 Phone: 516-679-5540
Mrs. Lourdes G. Lacolla, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 220 Pettit Ave, Bellmore, NY 11710 Phone: 516-233-8758
Mrs. Constance Lynn Erdmann, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 Natta Blvd, Bellmore, NY 11710 Phone: 516-308-3144 Fax: 516-308-3144
Mrs. Blanche Stern, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Ocean Ave, Bellmore, NY 11710 Phone: 516-785-6207
Mr. David Aaron Nemiroff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Ocean Ave, Bellmore, NY 11710 Phone: 631-804-3340
Ms. Karen Zampa Katz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2631 Merrick Rd, Suite 401, Bellmore, NY 11710 Phone: 516-308-3710

Laurie M Forman, MS SOCIAL WORK - Medicare Clinical Social Worker in Bellmore, NY