Stephanie Lynn Foraker, DPT is a medicare enrolled "Physical Therapist" provider in Fruit Cove, Florida. Her current practice location is
445 State Road 13 N Ste 21, Fruit Cove, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 239-5715.
Stephanie Lynn Foraker is licensed to practice in Florida (license number PT28730) 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 1598062853.
Healthcare Provider's Profile
| Full Name | Stephanie Lynn Foraker |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 445 State Road 13 N Ste 21, Fruit Cove, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598062853
- Provider Enumeration Date: 02/23/2011
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113331257
- Enrollment ID: I20220803001177
Medical Identifiers
Medical identifiers for Stephanie Lynn Foraker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598062853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 2305206815 (Virginia) | Secondary |
| 225100000X | Physical Therapist | P20025 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | PT28730 (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. Stephanie Lynn Foraker allows following entities to bill medicare on her behalf.
| Provider Name | Independent Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
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| Provider Name | Agilitas Usa, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
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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. Stephanie Lynn Foraker 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 |
Stephanie Lynn Foraker, DPT 445 State Road 13 N Ste 21, Fruit Cove, FL 32259-2824 Ph: (904) 239-5715 | Stephanie Lynn Foraker, DPT 445 State Road 13 N Ste 21, Fruit Cove, FL 32259-2824 Ph: (904) 239-5715 |
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