Christine Mary Forge, PMHNP in Casselberry, FL

Christine Mary Forge, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Casselberry, Florida. Her current practice location is 3745 Mill Stone Dr, Casselberry, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 356-3277.

Christine Mary Forge is licensed to practice in Florida (license number ARNP9171270) 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 1679050314.

Contact Information

	Christine Mary Forge, PMHNP
	3745 Mill Stone Dr, Casselberry, FL 32707-5907
	(321) 356-3277
	Not Available

Map and Direction

Provider's Profile

Full Name	Christine Mary Forge
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3745 Mill Stone Dr, Casselberry, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679050314
Provider Enumeration Date: 07/25/2018
Last Update Date: 08/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9739508243
Enrollment ID: I20201002001108

Medical Identifiers

Medical identifiers for Christine Mary Forge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679050314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9171270 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	ARNP9171270 (Florida)	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. Christine Mary Forge allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Regional Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384

Entity Name	Aspire Health Partners, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821033903 PECOS PAC ID: 8325936446 Enrollment ID: O20040309000953

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590

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. Christine Mary Forge 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
Christine Mary Forge, PMHNP 3745 Mill Stone Dr, Casselberry, FL 32707-5907 Ph: (321) 356-3277	Christine Mary Forge, PMHNP 3745 Mill Stone Dr, Casselberry, FL 32707-5907 Ph: (321) 356-3277

Reviews and Comments

Nurse Practitioner Nurses in Casselberry, FL

Robyn Stephanie Bishop, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2008 Varick Way, Casselberry, FL 32707 Phone: 407-913-2921
Kathie Jane Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3385 S Us Highway 17/92, Casselberry, FL 32707 Phone: 407-260-1992 Fax: 407-260-9210
Mrs. Rosanne Catherine Shinkle, MN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd Ste 111, Casselberry, FL 32730 Phone: 407-332-6506 Fax: 407-830-4073
Mrs. Donna-marie Phyllis Lanton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 Sr 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3390
Amabel Tangunan Lubaton, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 State Road 436 Ste 224, Casselberry, FL 32707 Phone: 786-449-5448
Mrs. Taiche Denise Griffin, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 State Road 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3765
Sadeep Kumbhamuelil John, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 985 State Road 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3765

Christine Mary Forge, PMHNP - Medicare Nurse Practitioner in Casselberry, FL