Stephanie Lynn Foraker, DPT in Fruit Cove, FL - Medicare Physical Therapist Provider

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.

Contact Information

	Stephanie Lynn Foraker, DPT
	445 State Road 13 N Ste 21, Fruit Cove, FL 32259-2824
	(904) 239-5715
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Lynn Foraker
Gender	Female
Speciality	Physical Therapist
Location	445 State Road 13 N Ste 21, Fruit Cove, Florida
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
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202

Provider Name	Agilitas Usa, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337

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

Reviews and Comments

Physical Therapist in Fruit Cove, FL

Alexis Bainger, PT, DPT, CERT. DN Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 State Road 13 N Ste 21, Fruit Cove, FL 32259 Phone: 904-239-5715
Aleena Rene Butler, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 State Road 13 N Ste 21, Fruit Cove, FL 32259 Phone: 708-476-0332
Kiera Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 State Road 13 Ste 21, Fruit Cove, FL 32259 Phone: 904-239-5715

Stephanie Lynn Foraker, DPT - Medicare Physical Therapist in Fruit Cove, FL