Hailey Forde, PA-C - Medicare Physician Assistant in Long Beach, CA

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Hailey Forde, PA-C is a medicare enrolled "Physician Assistant" in Long Beach, California. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carbon Health Medical Group Of California Pc, Team Physicians Of California Medical Group Inc and her current practice location is 3833 Worsham Ave Ste 300, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 595-5421.

Hailey Forde is licensed to practice in California (license number PA56955) 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 1063074755.

Contact Information

Hailey Forde, PA-C
3833 Worsham Ave Ste 300,
Long Beach, CA 90808-1766
(562) 595-5421
(562) 426-2862

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Provider's Profile

Full NameHailey Forde
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location3833 Worsham Ave Ste 300, Long Beach, California
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:
  • Hailey Forde graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1063074755
  • Provider Enumeration Date: 07/02/2019
  • Last Update Date: 08/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0749511665
  • Enrollment ID: I20191008000897

Medical Identifiers

Medical identifiers for Hailey Forde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063074755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA56955 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carbon Health Medical Group Of California Pc9032340047335
Team Physicians Of California Medical Group Inc822494508492

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. Hailey Forde allows following entities to bill medicare on her behalf.
Entity NameTeam Physicians of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447288345
PECOS PAC ID: 8224945084
Enrollment ID: O20040920000880
Entity NameShare Our Selves Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508073685
PECOS PAC ID: 4789854993
Enrollment ID: O20110825000722
Entity NameCarbon Health Medical Group of California PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276

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. Hailey Forde 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
Hailey Forde, PA-C
3833 Worsham Ave Ste 300,
Long Beach, CA 90808-1766

Ph: (562) 595-5421		Hailey Forde, PA-C
3833 Worsham Ave Ste 300,
Long Beach, CA 90808-1766

Ph: (562) 595-5421

Reviews and Comments


Physician Assistant Nurses in Long Beach, CA

Meggan Chappell,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3833 Worsham Ave Ste 300, Long Beach, CA 90808
Phone: 562-595-5421    Fax: 562-426-2862
Elizabeth Mary Zaarour,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806
Phone: 562-249-4575    
Mrs. Lindsay B Hutchinson, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2220 Clark Ave, Long Beach, CA 90815
Phone: 562-597-4181    Fax: 562-597-7083
Mrs. Jacqueline Barbour White, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2701 Atlantic Ave, Suite B, Long Beach, CA 90806
Phone: 562-933-2998    Fax: 562-933-8080
Catherine Le, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 3530 Atlantic Ave, Long Beach, CA 90807
Phone: 562-988-8818    
Johanna Perez,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5190 Atlantic Ave, Long Beach, CA 90805
Phone: 818-996-1051    
Mr. David Hoai Cao, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 540 E Artesia Blvd, Long Beach, CA 90805
Phone: 562-423-3383    

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.