Ms Katrina Forman, MSW, LCSW - Medicare Counselor in Hollywood, FL

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Ms Katrina Forman, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hollywood, Florida. She graduated from healthcare school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Total Life Inc, La Sagrada Familia Medical Center Inc and her current practice location is 4302 Hollywood Blvd # 127, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 505-0554.

Ms Katrina Forman is licensed to practice in Florida (license number SW17881) 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 1447538269.

Contact Information

Ms Katrina Forman, MSW, LCSW
4302 Hollywood Blvd # 127,
Hollywood, FL 33021-6635
(954) 505-0554
(954) 505-0554

Map and Direction


Healthcare Provider's Profile

Full NameMs Katrina Forman
GenderFemale
SpecialityClinical Social Worker
Experience15 Years
Location4302 Hollywood Blvd # 127, Hollywood, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Katrina Forman graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1447538269
  • Provider Enumeration Date: 07/27/2011
  • Last Update Date: 04/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658785233
  • Enrollment ID: I20210121001896

Medical Identifiers

Medical identifiers for Ms Katrina Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447538269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103K00000XBehavior Analyst (* (Not Available))Secondary
104100000XSocial Worker (Florida)Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical SW17881 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Total Life Inc8123433034123
La Sagrada Familia Medical Center Inc82244288265

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. Ms Katrina Forman allows following entities to bill medicare on her behalf.
Entity NameBlue Moon Senior Counseling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205129186
PECOS PAC ID: 6103099759
Enrollment ID: O20111027000391
Entity NameMtca Psychological Services P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740552322
PECOS PAC ID: 6406010834
Enrollment ID: O20120614000204
Entity NameIntellihealth Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942658802
PECOS PAC ID: 7618264664
Enrollment ID: O20160920000891
Entity NameDirect Access Counseling & Supportive Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679011449
PECOS PAC ID: 3971878398
Enrollment ID: O20171010002520
Entity NameA & B Counseling Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508327628
PECOS PAC ID: 6103152269
Enrollment ID: O20190726001094
Entity NameBeth Davalos Counseling Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932760451
PECOS PAC ID: 3375978414
Enrollment ID: O20200117000046
Entity NameMedication Assisted Recovery Institute, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154967891
PECOS PAC ID: 5294161592
Enrollment ID: O20200205000854
Entity NameQuality Bhs Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689297541
PECOS PAC ID: 4082030721
Enrollment ID: O20200812002561
Entity NameTotal Life Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053909267
PECOS PAC ID: 8123433034
Enrollment ID: O20210225003311
Entity NameLa Sagrada Familia Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508468869
PECOS PAC ID: 8224428826
Enrollment ID: O20211213002415
Entity NamePremier Choice Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821865361
PECOS PAC ID: 5395195713
Enrollment ID: O20231228000312

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. Ms Katrina 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 AddressPractice Location Address
Ms Katrina Forman, MSW, LCSW
4302 Hollywood Blvd Ste 127,
Hollywood, FL 33021-6635

Ph: (954) 505-0554		Ms Katrina Forman, MSW, LCSW
4302 Hollywood Blvd # 127,
Hollywood, FL 33021-6635

Ph: (954) 505-0554

Reviews and Comments


Social Worker in Hollywood, FL


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.