Lee Ann Fortson, LCSW in Conway, AR - Medicare Social Worker Provider

Lee Ann Fortson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Conway, Arkansas. Her current practice location is 2215 E Oak St, Ste 1, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 336-0511.

Lee Ann Fortson is licensed to practice in Arkansas (license number 2079-C) 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 1720284490.

Contact Information

	Lee Ann Fortson, LCSW
	2215 E Oak St, Ste 1, Conway, AR 72032-4644
	(501) 336-0511
	(501) 336-4037

Map and Direction

Healthcare Provider's Profile

Full Name	Lee Ann Fortson
Gender	Female
Speciality	Social Worker - Clinical
Location	2215 E Oak St, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720284490
Provider Enumeration Date: 06/21/2007
Last Update Date: 09/28/2015

Medicare PECOS Information:

PECOS PAC ID: 0749306231
Enrollment ID: I20100921001255

Medical Identifiers

Medical identifiers for Lee Ann Fortson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720284490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2079-C (Arkansas)	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. Lee Ann Fortson allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Psychiatric Clinic Clinical Research Trials, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548661200 PECOS PAC ID: 0345566238 Enrollment ID: O20150312001445

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. Lee Ann Fortson 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
Lee Ann Fortson, LCSW 2215 E Oak St, Ste 1, Conway, AR 72032-4644 Ph: (501) 336-0511	Lee Ann Fortson, LCSW 2215 E Oak St, Ste 1, Conway, AR 72032-4644 Ph: (501) 336-0511

Reviews and Comments

Social Worker in Conway, AR

Jennifer Graham Moix, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860
Sharon L D Dunaway, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 306 Salem Rd, Suite 105, Conway, AR 72034 Phone: 501-339-1751
Laura Gottsponer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Road, Suite #1, Conway, AR 72034 Phone: 479-967-5570 Fax: 479-890-5364
Bambi Marie Parks, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 855 South German Lane Suite 3, Conway, AR 72034 Phone: 501-358-6606
Deborah Kaye Baskins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-5508
Rhonda Love, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-5508
Summer Westerberg, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 479-967-5570 Fax: 479-890-5364

Lee Ann Fortson, LCSW - Medicare Clinical Social Worker in Conway, AR