Mrs Breann Marie Forliti, OD in Blaine, MN - Medicare Optometry Provider

Mrs Breann Marie Forliti, OD is a medicare enrolled "Optometrist" provider in Blaine, Minnesota. She went to Southern California College Of Optometry and graduated in 2008 and has 17 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Blaine Eye Clinic Optometrists, P.a. and her current practice location is 12170 Aberdeen St Ne, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 757-7000.

Mrs Breann Marie Forliti is licensed to practice in Minnesota (license number 3121) 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 1265694715.

Contact Information

	Mrs Breann Marie Forliti, OD
	12170 Aberdeen St Ne, Blaine, MN 55449-4716
	(763) 757-7000
	(763) 757-3328

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Breann Marie Forliti
Gender	Female
Speciality	Optometry
Experience	17 Years
Location	12170 Aberdeen St Ne, Blaine, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Breann Marie Forliti attended and graduated from Southern California College Of Optometry in 2008

NPI Data:

NPI Number: 1265694715
Provider Enumeration Date: 06/26/2008
Last Update Date: 09/27/2010

Medicare PECOS Information:

PECOS PAC ID: 8022186485
Enrollment ID: I20081013000138

Medical Identifiers

Medical identifiers for Mrs Breann Marie Forliti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265694715	NPI	-	NPPES
1265694715	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3121 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blaine Eye Clinic Optometrists, P.a.	2264479575	6

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. Mrs Breann Marie Forliti allows following entities to bill medicare on her behalf.

Provider Name	Blaine Eye Clinic Optometrists, P.a.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043363401 PECOS PAC ID: 2264479575 Enrollment ID: O20050408000253

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. Mrs Breann Marie Forliti 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
Mrs Breann Marie Forliti, OD 3125 Kenwood St S, Cambridge, MN 55008-2640 Ph: (763) 689-4397	Mrs Breann Marie Forliti, OD 12170 Aberdeen St Ne, Blaine, MN 55449-4716 Ph: (763) 757-7000

Reviews and Comments

Optometrist in Blaine, MN

Lynn Alan Sulerud, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12170 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-757-7000 Fax: 763-757-3328
Megan Marie Sis, OD, MS, FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12170 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-757-7000 Fax: 763-757-3328
Dr. Rahul Farmah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 680 Hwy 10 Ne, Blaine, MN 55434 Phone: 763-785-2200
Blaine Eye Clinic Optometrists, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 12170 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-757-7000 Fax: 763-757-3328
Mrs. Alisha Duffy Mcafee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 109th Ave Ne, Blaine, MN 55449 Phone: 763-354-1003
Bf Eye Care Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 10995 Club West Parkway, Suite 500, Blaine, MN 55449 Phone: 763-717-0072 Fax: 763-717-0074

Mrs Breann Marie Forliti, OD - Medicare Optometrist in Blaine, MN