Forefront Telecare Inc - Medicare Mental Health Clinic in Dallas, TX

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Forefront Telecare Inc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Dallas, Texas. The current practice location for Forefront Telecare Inc is 1717 Main St Ste 5850, Dallas, Texas. For appointments, you can reach them via phone at (972) 449-0540. The mailing address for Forefront Telecare Inc is 1717 Main St Ste 5850, Dallas, Texas and phone number is (972) 449-0540.

Forefront Telecare Inc is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1174035612. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (972) 449-0540.

Contact Information

Forefront Telecare Inc
1717 Main St Ste 5850
Dallas
TX 75201-7317
(972) 449-0540
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameForefront Telecare Inc
SpecialityPsychiatry & Neurology
Location1717 Main St Ste 5850, Dallas, Texas
Authorized Official Name and PositionSara Vitullo (DIRECTOR OF PAYER OPERATION)
Authorized Official Contact8157358600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Forefront Telecare Inc
1717 Main St Ste 5850
Dallas
TX 75201-7317

Ph: (972) 449-0540		Forefront Telecare Inc
1717 Main St Ste 5850
Dallas
TX 75201-7317

Ph: (972) 449-0540

NPI Details:

NPI Number1174035612
Provider Enumeration Date10/24/2017
Last Update Date02/04/2026
Certification Date02/04/2026

Medicare PECOS Information:

Medicare PECOS PAC ID9638319114
Medicare Enrollment IDO20180427000403

Medical Identifiers

Medical identifiers for Forefront Telecare Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174035612NPI-NPPES
10026830800MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Forefront Telecare Inc acts as a billing entity for following providers:
Provider NameJennifer Jane Bermudez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396775888
PECOS PAC ID: 2365406915
Enrollment ID: I20061006000224
Provider NameDenise Daly-stennis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437347762
PECOS PAC ID: 9032293964
Enrollment ID: I20080229000612
Provider NameJessica Herron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568741320
PECOS PAC ID: 0345413407
Enrollment ID: I20120516000686
Provider NameDavid Campopiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477557916
PECOS PAC ID: 5991691271
Enrollment ID: I20130314000186
Provider NameJessica Eliza Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598186801
PECOS PAC ID: 6800025784
Enrollment ID: I20140219001185
Provider NameSandra O Kolapo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568834984
PECOS PAC ID: 1052605680
Enrollment ID: I20160906000963
Provider NameRobin D Belcher-howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104292200
PECOS PAC ID: 9537439088
Enrollment ID: I20170717002561
Provider NameEquilla Vonzetti Cherry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689029480
PECOS PAC ID: 9739474123
Enrollment ID: I20170825003094
Provider NameHeather Warren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992202659
PECOS PAC ID: 7719237148
Enrollment ID: I20180906000973
Provider NameMagenta Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518465582
PECOS PAC ID: 8123379948
Enrollment ID: I20180918002678
Provider NameMadeleine Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992292106
PECOS PAC ID: 0345587093
Enrollment ID: I20190204001020
Provider NameMelanie L Combs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215335922
PECOS PAC ID: 9537492277
Enrollment ID: I20190611002838
Provider NameAitala Giron
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922057413
PECOS PAC ID: 1658603733
Enrollment ID: I20191022001856
Provider NameMichael Sanfilipo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083825517
PECOS PAC ID: 0345563722
Enrollment ID: I20200220002276
Provider NameStephanie Victor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134748106
PECOS PAC ID: 4789014028
Enrollment ID: I20200428001977
Provider NameDanielle Hammons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598319246
PECOS PAC ID: 9436588951
Enrollment ID: I20200612001426
Provider NameTrevon Jarrod Friar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689291726
PECOS PAC ID: 8921423971
Enrollment ID: I20200807000429
Provider NameVictoria Susan Waicus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275159733
PECOS PAC ID: 9032529862
Enrollment ID: I20201106001719
Provider NameKettlyne Stcyr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427529759
PECOS PAC ID: 7618381682
Enrollment ID: I20210203000938
Provider NameTaiwo Emiola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740729334
PECOS PAC ID: 9234543117
Enrollment ID: I20210204001858
Provider NameAmy Holland
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891912465
PECOS PAC ID: 3476961376
Enrollment ID: I20210414000107
Provider NameDarina Carcerano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902385008
PECOS PAC ID: 7416207568
Enrollment ID: I20210517001158
Provider NameMargie Francis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649599044
PECOS PAC ID: 3375942519
Enrollment ID: I20210520001782
Provider NameKristie Ann Santana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548444870
PECOS PAC ID: 5991106189
Enrollment ID: I20210625000032
Provider NameDonna Ryan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518148899
PECOS PAC ID: 9638336712
Enrollment ID: I20210730002321
Provider NameShamalon Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659403905
PECOS PAC ID: 5698849693
Enrollment ID: I20211217000383
Provider NameLinda Rebecca Pierre-paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710575410
PECOS PAC ID: 2769878560
Enrollment ID: I20220404002091
Provider NameMatthew Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336896687
PECOS PAC ID: 2264829464
Enrollment ID: I20220418000818
Provider NameMarie Guerrier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427648732
PECOS PAC ID: 2567847635
Enrollment ID: I20220912000296
Provider NameTracy-ann Damiela Hutchinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548972730
PECOS PAC ID: 4981078714
Enrollment ID: I20230320000001
Provider NameRobert Paul Casna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063128106
PECOS PAC ID: 6305210733
Enrollment ID: I20230324002299
Provider NameRebecca Blackwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326607839
PECOS PAC ID: 9638506553
Enrollment ID: I20230331001082
Provider NameUzma Faheem
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033209838
PECOS PAC ID: 7517998461
Enrollment ID: I20230412003325
Provider NameShannon N Turner-anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548867559
PECOS PAC ID: 4880069475
Enrollment ID: I20230413000769
Provider NameFred Moline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649971334
PECOS PAC ID: 1658736319
Enrollment ID: I20230502001434
Provider NameChristopher M Gaitor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821700980
PECOS PAC ID: 4385000348
Enrollment ID: I20230517000564
Provider NameThomas Allen Rayner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194008979
PECOS PAC ID: 0941533574
Enrollment ID: I20230613000040
Provider NameClaudia Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518442334
PECOS PAC ID: 0042667990
Enrollment ID: I20231114002683
Provider NameRenee Samuels- Laurent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538560925
PECOS PAC ID: 8022469733
Enrollment ID: I20240108000192
Provider NameRobert Glenn
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902033210
PECOS PAC ID: 9335328467
Enrollment ID: I20240327003417
Provider NameVanessa Gelin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164007001
PECOS PAC ID: 5294105755
Enrollment ID: I20240828000420
Provider NameSuzanne Yaws
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679136394
PECOS PAC ID: 1759624273
Enrollment ID: I20240918003853
Provider NameLaura Elizabeth Huff-johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508345398
PECOS PAC ID: 3779834908
Enrollment ID: I20250103003122
Provider NameJohn Michael Kenny
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750449732
PECOS PAC ID: 9739102716
Enrollment ID: I20250129001447
Provider NameQue'linda L Tillman-wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821661802
PECOS PAC ID: 4284031048
Enrollment ID: I20250303001857
Provider NameGary Jean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306544473
PECOS PAC ID: 2466813985
Enrollment ID: I20250507001082
Provider NameJamie Deputy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053851436
PECOS PAC ID: 4688949506
Enrollment ID: I20250604002873
Provider NameDe'lise Marie Mckay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912517848
PECOS PAC ID: 8123448560
Enrollment ID: I20250702004520
Provider NameLudgy Renaud Supplice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841772506
PECOS PAC ID: 1153836507
Enrollment ID: I20250715000409
Provider NameTodd Bomar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336730084
PECOS PAC ID: 2769899012
Enrollment ID: I20250721003962
Provider NameOyebisi N Kilani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013614668
PECOS PAC ID: 5698111326
Enrollment ID: I20250731002139
Provider NameNneka Jon-ubabuco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912274622
PECOS PAC ID: 8022363159
Enrollment ID: I20250813004051
Provider NameNurat Aro-lambo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336623487
PECOS PAC ID: 8527391432
Enrollment ID: I20250910003227
Provider NameRegina Spencer-sikandar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487057717
PECOS PAC ID: 4284951641
Enrollment ID: I20250911004330
Provider NameSamantha Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740703354
PECOS PAC ID: 8022351956
Enrollment ID: I20250930001516
Provider NameFariba Mazdeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669786117
PECOS PAC ID: 3072706704
Enrollment ID: I20251001000891
Provider NameJulie E. Lewerenz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053388181
PECOS PAC ID: 2062919335
Enrollment ID: I20251010003688
Provider NameAllyson Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225685142
PECOS PAC ID: 6901239045
Enrollment ID: I20251029004926
Provider NameLoyette Wong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750914800
PECOS PAC ID: 0042649527
Enrollment ID: I20251208004142
Provider NameDonna Brunson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710434055
PECOS PAC ID: 6709168081
Enrollment ID: I20251215002292
Provider NameCandice Schrodetzki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235630427
PECOS PAC ID: 1052666047
Enrollment ID: I20260427003177
Provider NameUmeika Griffith Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851329338
PECOS PAC ID: 2668372582
Enrollment ID: I20260430003038
Provider NameChad Lewis Murdock
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427196575
PECOS PAC ID: 6800120437
Enrollment ID: I20260512002657
Provider NameHannah Kloha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861085110
PECOS PAC ID: 1052710423
Enrollment ID: I20260528000346
Provider NameMariam R Qureshi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801113204
PECOS PAC ID: 5294053831
Enrollment ID: I20260617004577
Provider NameKenatta Bethea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376133496
PECOS PAC ID: 6305253337
Enrollment ID: I20260624000271
Provider NameNathaniel William Seck
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073924312
PECOS PAC ID: 5890912729
Enrollment ID: I20260626002655

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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.