Marie Naomi C Forges Madistin, in Lake Worth, FL

Marie Naomi C Forges Madistin, is a medicare enrolled "Nurse Practitioner - Family" in Lake Worth, Florida. Her current practice location is 6045 Hagen Ranch Rd Ste 4, Lake Worth, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 619-9961.

Marie Naomi C Forges Madistin is licensed to practice in Florida (license number APRN11017807) 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 1285387332.

Contact Information

	Marie Naomi C Forges Madistin,
	6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467-7251
	(561) 619-9961
	(561) 619-9934

Map and Direction

Provider's Profile

Full Name	Marie Naomi C Forges Madistin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6045 Hagen Ranch Rd Ste 4, Lake Worth, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285387332
Provider Enumeration Date: 01/29/2022
Last Update Date: 01/28/2026

Medicare PECOS Information:

PECOS PAC ID: 4981099348
Enrollment ID: I20220322000317

Medical Identifiers

Medical identifiers for Marie Naomi C Forges Madistin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285387332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11017807 (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. Marie Naomi C Forges Madistin allows following entities to bill medicare on her behalf.

Entity Name	Florida Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134189103 PECOS PAC ID: 3072424282 Enrollment ID: O20040105000636

Entity Name	Bethel Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053027508 PECOS PAC ID: 8921452947 Enrollment ID: O20230925003835

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. Marie Naomi C Forges Madistin 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
Marie Naomi C Forges Madistin, 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467-7251 Ph: (561) 619-9961	Marie Naomi C Forges Madistin, 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467-7251 Ph: (561) 619-9961

Reviews and Comments

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Marie Naomi C Forges Madistin, - Medicare Nurse Practitioner in Lake Worth, FL